- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,021.50 / $26,886.30 / $37,194.10
| Facility | | $8,021.50 | $26,886.30 | $37,194.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,022.72
| Facility | | $1,146.00 | $3,000.00 | $5,022.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,119.65 / $13,982.28 / $25,935.11
| Facility | | $10,119.65 | $13,982.28 | $25,935.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,119.65 / $13,982.28 / $25,935.11
| Facility | | $10,119.65 | $13,982.28 | $25,935.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,895.97 / $27,747.97
| Facility | | $5,419.00 | $17,895.97 | $27,747.97 |