- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,192.50 / $54,273.80 / $75,081.39
| Facility | | $16,192.50 | $54,273.80 | $75,081.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,992.36
| Facility | | $1,146.00 | $3,000.00 | $12,992.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,427.91 / $28,225.15 / $52,353.59
| Facility | | $20,427.91 | $28,225.15 | $52,353.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,427.91 / $28,225.15 / $52,353.59
| Facility | | $20,427.91 | $28,225.15 | $52,353.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $36,125.47 / $56,013.10
| Facility | | $5,419.00 | $36,125.47 | $56,013.10 |