- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,633.50 / $35,641.19 / $49,305.40
| Facility | | $10,633.50 | $35,641.19 | $49,305.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,326.98
| Facility | | $1,146.00 | $3,000.00 | $10,326.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,414.86 / $18,535.25 / $34,380.23
| Facility | | $13,414.86 | $18,535.25 | $34,380.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,414.86 / $18,535.25 / $34,380.23
| Facility | | $13,414.86 | $18,535.25 | $34,380.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,723.34 / $36,783.40
| Facility | | $5,419.00 | $23,723.34 | $36,783.40 |