- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,472.50 / $25,046.20 / $34,648.50
| Facility | | $7,472.50 | $25,046.20 | $34,648.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,466.23
| Facility | | $1,146.00 | $3,000.00 | $11,466.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,427.04 / $13,025.31 / $24,160.09
| Facility | | $9,427.04 | $13,025.31 | $24,160.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,427.04 / $13,025.31 / $23,394.95
| Facility | | $9,427.04 | $13,025.31 | $23,394.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,671.15 / $25,848.87
| Facility | | $5,419.00 | $16,671.15 | $25,848.87 |