- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,634.50 / $25,589.20 / $35,399.69
| Facility | | $7,634.50 | $25,589.20 | $35,399.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,119.63
| Facility | | $1,146.00 | $3,000.00 | $8,119.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,631.43 / $13,307.70 / $24,683.87
| Facility | | $9,631.43 | $13,307.70 | $24,683.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,631.43 / $13,307.70 / $24,683.87
| Facility | | $9,631.43 | $13,307.70 | $24,683.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,032.57 / $26,409.26
| Facility | | $5,419.00 | $17,032.57 | $26,409.26 |