- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,816.50 / $22,847.40 / $31,606.70
| Facility | | $6,816.50 | $22,847.40 | $31,606.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,884.08
| Facility | | $1,146.00 | $3,000.00 | $8,884.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,599.45 / $11,881.84 / $22,039.11
| Facility | | $8,599.45 | $11,881.84 | $22,039.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,599.45 / $12,269.70 / $22,039.11
| Facility | | $8,599.45 | $12,269.70 | $22,039.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,207.61 / $23,579.64
| Facility | | $5,419.00 | $15,207.61 | $23,579.64 |