- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,302.50 / $27,828.20 / $38,497.00
| Facility | | $8,302.50 | $27,828.20 | $38,497.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,662.24
| Facility | | $1,146.00 | $3,000.00 | $10,662.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,474.15 / $14,472.09 / $26,843.64
| Facility | | $10,474.15 | $14,472.09 | $26,843.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,474.15 / $14,944.50 / $26,843.64
| Facility | | $10,474.15 | $14,944.50 | $26,843.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,630.38 / $29,556.90
| Facility | | $5,419.00 | $20,630.38 | $29,556.90 |