- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,687.50 / $29,118.60 / $40,282.19
| Facility | | $8,687.50 | $29,118.60 | $40,282.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,686.78
| Facility | | $1,146.00 | $3,000.00 | $16,686.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,959.85 / $15,143.18 / $28,088.43
| Facility | | $10,959.85 | $15,143.18 | $28,088.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,959.85 / $15,637.50 / $28,088.43
| Facility | | $10,959.85 | $15,637.50 | $28,088.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $19,381.81 / $30,051.80
| Facility | | $5,419.00 | $19,381.81 | $30,051.80 |