- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,138.50 / $33,982.10 / $47,010.20
| Facility | | $10,138.50 | $33,982.10 | $47,010.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,258.23
| Facility | | $1,146.00 | $3,000.00 | $6,258.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,790.39 / $17,672.41 / $32,779.80
| Facility | | $12,790.39 | $17,672.41 | $32,779.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,833.92 / $17,672.41 / $32,779.80
| Facility | | $10,833.92 | $17,672.41 | $32,779.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $22,618.99 / $35,071.10
| Facility | | $5,419.00 | $22,618.99 | $35,071.10 |