- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,350.50 / $17,933.70 / $24,809.20
| Facility | | $5,350.50 | $17,933.70 | $24,809.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,854.79
| Facility | | $1,146.00 | $3,000.00 | $8,854.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,750.01 / $9,326.45 / $17,299.24
| Facility | | $6,750.01 | $9,326.45 | $17,299.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,750.01 / $9,326.45 / $16,751.38
| Facility | | $6,750.01 | $9,326.45 | $16,751.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,029.47 / $11,936.97 / $18,508.45
| Facility | | $5,029.47 | $11,936.97 | $18,508.45 |