- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,583.00 / $35,471.90 / $49,071.30
| Facility | | $10,583.00 | $35,471.90 | $49,071.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,468.52
| Facility | | $1,146.00 | $3,000.00 | $13,468.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,351.15 / $18,447.23 / $34,216.96
| Facility | | $13,351.15 | $18,447.23 | $34,216.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,351.15 / $19,049.40 / $34,216.96
| Facility | | $13,351.15 | $19,049.40 | $34,216.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,610.67 / $36,608.71
| Facility | | $5,419.00 | $23,610.67 | $36,608.71 |