- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,817.50 / $26,202.60 / $36,248.19
| Facility | | $7,817.50 | $26,202.60 | $36,248.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,067.58
| Facility | | $1,146.00 | $3,000.00 | $6,067.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,862.29 / $13,626.68 / $25,275.54
| Facility | | $9,862.29 | $13,626.68 | $25,275.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,862.29 / $13,626.68 / $25,275.54
| Facility | | $9,862.29 | $13,626.68 | $25,275.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,440.84 / $27,042.30
| Facility | | $5,419.00 | $17,440.84 | $27,042.30 |