- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,414.50 / $28,203.60 / $39,016.40
| Facility | | $8,414.50 | $28,203.60 | $39,016.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,336.71
| Facility | | $1,146.00 | $3,000.00 | $12,336.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,615.45 / $14,667.31 / $27,205.76
| Facility | | $10,615.45 | $14,667.31 | $27,205.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,615.45 / $15,052.12 / $27,205.76
| Facility | | $10,615.45 | $15,052.12 | $27,205.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,772.75 / $29,107.44
| Facility | | $5,419.00 | $18,772.75 | $29,107.44 |