- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,424.50 / $18,181.80 / $25,152.30
| Facility | | $5,424.50 | $18,181.80 | $25,152.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,530.51
| Facility | | $1,146.00 | $3,000.00 | $5,530.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,843.36 / $9,455.45 / $17,538.49
| Facility | | $6,843.36 | $9,455.45 | $17,538.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,655.28 / $9,455.45 / $17,538.49
| Facility | | $6,655.28 | $9,455.45 | $17,538.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,099.03 / $12,102.06 / $18,764.43
| Facility | | $5,099.03 | $12,102.06 | $18,764.43 |