- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,547.50 / $45,408.30 / $62,817.10
| Facility | | $13,547.50 | $45,408.30 | $62,817.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,835.76
| Facility | | $1,146.00 | $3,000.00 | $6,835.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,091.07 / $23,614.65 / $43,801.78
| Facility | | $17,091.07 | $23,614.65 | $43,801.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,324.32 / $23,614.65 / $43,801.78
| Facility | | $12,324.32 | $23,614.65 | $43,801.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $30,630.90 / $46,863.51
| Facility | | $5,419.00 | $30,630.90 | $46,863.51 |