- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,544.50 / $31,991.10 / $44,255.90
| Facility | | $9,544.50 | $31,991.10 | $44,255.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,939.14
| Facility | | $1,146.00 | $3,000.00 | $11,939.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,041.02 / $16,637.02 / $30,859.28
| Facility | | $12,041.02 | $16,637.02 | $30,859.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,041.02 / $16,637.02 / $30,859.28
| Facility | | $12,041.02 | $16,637.02 | $30,859.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,293.78 / $33,016.33
| Facility | | $5,419.00 | $21,293.78 | $33,016.33 |