- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,703.50 / $35,875.80 / $49,630.00
| Facility | | $10,703.50 | $35,875.80 | $49,630.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $7,529.07
| Facility | | $1,146.00 | $3,000.00 | $7,529.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,503.17 / $18,657.27 / $34,606.56
| Facility | | $13,503.17 | $18,657.27 | $34,606.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,503.17 / $18,657.27 / $34,606.56
| Facility | | $13,503.17 | $18,657.27 | $34,606.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,879.51 / $37,025.55
| Facility | | $5,419.00 | $23,879.51 | $37,025.55 |