- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,707.50 / $35,889.19 / $49,648.50
| Facility | | $10,707.50 | $35,889.19 | $49,648.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,125.17
| Facility | | $1,146.00 | $3,000.00 | $10,125.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,508.22 / $18,664.24 / $34,619.49
| Facility | | $13,508.22 | $18,664.24 | $34,619.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,508.22 / $18,997.08 / $34,619.49
| Facility | | $13,508.22 | $18,997.08 | $34,619.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,888.43 / $37,039.37
| Facility | | $5,419.00 | $23,888.43 | $37,039.37 |