- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,595.50 / $15,403.10 / $21,308.40
| Facility | | $4,595.50 | $15,403.10 | $21,308.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,743.77
| Facility | | $1,146.00 | $3,000.00 | $15,743.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,797.53 / $8,010.42 / $14,858.17
| Facility | | $5,797.53 | $8,010.42 | $14,858.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,797.53 / $8,010.42 / $14,387.62
| Facility | | $5,797.53 | $8,010.42 | $14,387.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,319.77 / $10,390.43 / $15,896.75
| Facility | | $4,319.77 | $10,390.43 | $15,896.75 |