- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,621.50 / $15,490.30 / $21,429.00
| Facility | | $4,621.50 | $15,490.30 | $21,429.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,900.86
| Facility | | $1,146.00 | $3,000.00 | $6,900.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,830.33 / $8,055.74 / $14,942.23
| Facility | | $5,830.33 | $8,055.74 | $14,942.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,830.33 / $8,104.28 / $14,942.23
| Facility | | $5,830.33 | $8,104.28 | $14,942.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,344.21 / $10,310.57 / $15,986.69
| Facility | | $4,344.21 | $10,310.57 | $15,986.69 |