- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,056.50 / $30,355.40 / $41,993.20
| Facility | | $9,056.50 | $30,355.40 | $41,993.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,925.83
| Facility | | $1,146.00 | $3,000.00 | $14,925.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,425.37 / $15,786.39 / $29,281.48
| Facility | | $11,425.37 | $15,786.39 | $29,281.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,425.37 / $15,786.39 / $29,281.48
| Facility | | $11,425.37 | $15,786.39 | $29,281.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,205.05 / $31,328.24
| Facility | | $5,419.00 | $20,205.05 | $31,328.24 |