- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,341.50 / $21,255.30 / $29,404.30
| Facility | | $6,341.50 | $21,255.30 | $29,404.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $2,832.20 / $4,337.78
| Facility | | $1,146.00 | $2,832.20 | $4,337.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,000.22 / $11,053.87 / $20,503.34
| Facility | | $8,000.22 | $11,053.87 | $20,503.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,000.22 / $11,053.87 / $20,503.34
| Facility | | $8,000.22 | $11,053.87 | $20,503.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $14,147.89 / $21,936.52
| Facility | | $5,419.00 | $14,147.89 | $21,936.52 |