- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,674.50 / $25,723.30 / $35,585.10
| Facility | | $7,674.50 | $25,723.30 | $35,585.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,439.12
| Facility | | $1,146.00 | $3,000.00 | $6,439.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,681.89 / $13,377.42 / $24,813.19
| Facility | | $9,681.89 | $13,377.42 | $24,813.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,681.89 / $13,377.42 / $24,813.19
| Facility | | $9,681.89 | $13,377.42 | $24,813.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,121.81 / $26,547.63
| Facility | | $5,419.00 | $17,121.81 | $26,547.63 |