- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,397.00 / $34,848.50 / $48,208.80
| Facility | | $10,397.00 | $34,848.50 | $48,208.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,823.67
| Facility | | $1,146.00 | $3,000.00 | $6,823.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,116.50 / $18,123.00 / $33,615.58
| Facility | | $13,116.50 | $18,123.00 | $33,615.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,116.50 / $18,123.00 / $33,615.58
| Facility | | $13,116.50 | $18,123.00 | $33,615.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,195.71 / $35,965.30
| Facility | | $5,419.00 | $23,195.71 | $35,965.30 |