- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,908.50 / $29,859.40 / $41,306.90
| Facility | | $8,908.50 | $29,859.40 | $41,306.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,592.50
| Facility | | $1,146.00 | $3,000.00 | $10,592.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,238.66 / $15,528.41 / $28,802.96
| Facility | | $11,238.66 | $15,528.41 | $28,802.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,238.66 / $15,528.41 / $28,802.96
| Facility | | $11,238.66 | $15,528.41 | $28,802.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $19,874.86 / $30,816.28
| Facility | | $5,419.00 | $19,874.86 | $30,816.28 |