- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,645.50 / $32,329.60 / $44,724.30
| Facility | | $9,645.50 | $32,329.60 | $44,724.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,724.88
| Facility | | $1,146.00 | $3,000.00 | $5,724.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,168.43 / $16,813.07 / $31,185.83
| Facility | | $12,168.43 | $16,813.07 | $31,185.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,470.52 / $16,813.07 / $31,185.83
| Facility | | $10,470.52 | $16,813.07 | $31,185.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,519.11 / $33,365.71
| Facility | | $5,419.00 | $21,519.11 | $33,365.71 |