- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,995.26 / $2,398.83 / $22,387.21
| Facility | | $1,995.26 | $2,398.83 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $6,760.83 / $10,000.00
| Facility | | $6,025.60 | $6,760.83 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51,286.14 / $53,703.18 / $61,659.50
| Facility | | $51,286.14 | $53,703.18 | $61,659.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,302.69 / $12,302.69
| Facility | | $12,302.69 | $12,302.69 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $12,302.69 / $12,302.69
| Facility | | $12,302.69 | $12,302.69 | $12,302.69 |