- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,588.50 / $35,490.40 / $49,096.80
| Facility | | $10,588.50 | $35,490.40 | $49,096.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $23,346.51
| Facility | | $1,146.00 | $3,000.00 | $23,346.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,358.09 / $18,456.81 / $34,234.74
| Facility | | $13,358.09 | $18,456.81 | $34,234.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,358.09 / $18,456.81 / $34,234.74
| Facility | | $13,358.09 | $18,456.81 | $34,234.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,622.94 / $36,627.74
| Facility | | $5,419.00 | $23,622.94 | $36,627.74 |