- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,877.50 / $19,700.09 / $27,252.80
| Facility | | $5,877.50 | $19,700.09 | $27,252.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,317.21
| Facility | | $1,146.00 | $3,000.00 | $10,317.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,414.85 / $10,245.07 / $19,003.13
| Facility | | $7,414.85 | $10,245.07 | $19,003.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,414.85 / $10,245.07 / $19,003.13
| Facility | | $7,414.85 | $10,245.07 | $19,003.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $13,112.70 / $20,331.45
| Facility | | $5,419.00 | $13,112.70 | $20,331.45 |