- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,792.50 / $26,118.80 / $36,132.30
| Facility | | $7,792.50 | $26,118.80 | $36,132.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,193.52
| Facility | | $1,146.00 | $3,000.00 | $10,193.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,830.75 / $13,583.11 / $25,194.71
| Facility | | $9,830.75 | $13,583.11 | $25,194.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,830.75 / $14,026.50 / $25,194.71
| Facility | | $9,830.75 | $14,026.50 | $25,194.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,385.07 / $26,955.82
| Facility | | $5,419.00 | $17,385.07 | $26,955.82 |