- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,202.10 / $26,656.81 / $37,101.40
| Facility | | $11,202.10 | $26,656.81 | $37,101.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,566.67
| Facility | | $1,146.00 | $3,000.00 | $11,566.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,094.42 / $13,947.41 / $25,870.45
| Facility | | $10,094.42 | $13,947.41 | $25,870.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,094.42 / $14,402.70 / $25,870.45
| Facility | | $10,094.42 | $14,402.70 | $25,870.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,336.52 / $30,616.00
| Facility | | $5,419.00 | $20,336.52 | $30,616.00 |