- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,712.50 / $32,554.20 / $45,034.90
| Facility | | $9,712.50 | $32,554.20 | $45,034.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,987.96
| Facility | | $1,146.00 | $3,000.00 | $11,987.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,252.96 / $16,929.86 / $31,402.46
| Facility | | $12,252.96 | $16,929.86 | $31,402.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,252.96 / $17,298.75 / $31,402.46
| Facility | | $12,252.96 | $17,298.75 | $31,402.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,668.59 / $33,597.48
| Facility | | $5,419.00 | $21,668.59 | $33,597.48 |