- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,040.50 / $30,301.80 / $41,919.00
| Facility | | $9,040.50 | $30,301.80 | $41,919.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $7,266.35
| Facility | | $1,146.00 | $3,000.00 | $7,266.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,405.19 / $15,758.50 / $29,229.74
| Facility | | $11,405.19 | $15,758.50 | $29,229.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,405.19 / $15,758.50 / $29,229.74
| Facility | | $11,405.19 | $15,758.50 | $29,229.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,169.36 / $31,272.90
| Facility | | $5,419.00 | $20,169.36 | $31,272.90 |