- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,050.00 / $30,333.60 / $41,963.00
| Facility | | $9,050.00 | $30,333.60 | $41,963.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,158.22
| Facility | | $1,146.00 | $3,000.00 | $8,158.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,417.17 / $15,775.06 / $29,260.46
| Facility | | $11,417.17 | $15,775.06 | $29,260.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,417.17 / $15,775.06 / $29,260.46
| Facility | | $11,417.17 | $15,775.06 | $29,260.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,190.55 / $31,305.76
| Facility | | $5,419.00 | $20,190.55 | $31,305.76 |