- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,812.00 / $22,832.40 / $31,585.90
| Facility | | $6,812.00 | $22,832.40 | $31,585.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,388.61
| Facility | | $1,146.00 | $3,000.00 | $9,388.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,593.79 / $11,874.00 / $22,024.56
| Facility | | $8,593.79 | $11,874.00 | $22,024.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,593.79 / $11,874.00 / $22,024.56
| Facility | | $8,593.79 | $11,874.00 | $22,024.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,197.57 / $23,564.07
| Facility | | $5,419.00 | $15,197.57 | $23,564.07 |