- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,314.50 / $27,868.40 / $38,552.69
| Facility | | $8,314.50 | $27,868.40 | $38,552.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,178.36
| Facility | | $1,146.00 | $3,000.00 | $13,178.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,489.29 / $14,493.00 / $26,882.44
| Facility | | $10,489.29 | $14,493.00 | $26,882.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,489.29 / $14,493.00 / $26,882.44
| Facility | | $10,489.29 | $14,493.00 | $26,882.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,549.65 / $28,761.52
| Facility | | $5,419.00 | $18,549.65 | $28,761.52 |