- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,458.00 / $28,349.40 / $39,218.10
| Facility | | $8,458.00 | $28,349.40 | $39,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,263.31
| Facility | | $1,146.00 | $3,000.00 | $8,263.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,446.00 / $14,743.14 / $27,346.41
| Facility | | $8,446.00 | $14,743.14 | $27,346.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,446.00 / $14,743.14 / $26,480.36
| Facility | | $8,446.00 | $14,743.14 | $26,480.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,869.80 / $29,257.91
| Facility | | $5,419.00 | $18,869.80 | $29,257.91 |