- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,955.50 / $46,775.80 / $64,708.90
| Facility | | $13,955.50 | $46,775.80 | $64,708.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,729.67
| Facility | | $1,146.00 | $3,000.00 | $10,729.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,605.78 / $24,325.83 / $45,120.92
| Facility | | $17,605.78 | $24,325.83 | $45,120.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,605.78 / $24,325.83 / $45,120.92
| Facility | | $17,605.78 | $24,325.83 | $45,120.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $31,134.72 / $48,274.87
| Facility | | $5,419.00 | $31,134.72 | $48,274.87 |