- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,894.00 / $36,514.30 / $50,513.30
| Facility | | $10,894.00 | $36,514.30 | $50,513.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,281.38
| Facility | | $1,146.00 | $3,000.00 | $12,281.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,743.50 / $18,989.33 / $35,222.48
| Facility | | $13,743.50 | $18,989.33 | $35,222.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,743.50 / $19,609.20 / $35,222.48
| Facility | | $13,743.50 | $19,609.20 | $35,222.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $24,304.51 / $37,684.51
| Facility | | $5,419.00 | $24,304.51 | $37,684.51 |