- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,938.50 / $26,608.10 / $36,809.19
| Facility | | $7,938.50 | $26,608.10 | $36,809.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,405.75
| Facility | | $1,146.00 | $3,000.00 | $13,405.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,014.94 / $13,837.60 / $25,666.76
| Facility | | $10,014.94 | $13,837.60 | $25,666.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,014.94 / $14,289.30 / $25,666.76
| Facility | | $10,014.94 | $14,289.30 | $25,666.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,710.79 / $27,460.86
| Facility | | $5,419.00 | $17,710.79 | $27,460.86 |