- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,989.50 / $23,427.30 / $32,408.90
| Facility | | $6,989.50 | $23,427.30 | $32,408.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,476.95
| Facility | | $1,146.00 | $3,000.00 | $9,476.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,817.71 / $12,183.40 / $22,598.45
| Facility | | $8,817.71 | $12,183.40 | $22,598.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,817.71 / $12,538.68 / $22,598.45
| Facility | | $8,817.71 | $12,538.68 | $22,598.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,593.57 / $24,178.08
| Facility | | $5,419.00 | $15,593.57 | $24,178.08 |