- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,997.50 / $23,454.10 / $32,446.00
| Facility | | $6,997.50 | $23,454.10 | $32,446.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,327.63
| Facility | | $1,146.00 | $3,000.00 | $13,327.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,827.81 / $12,197.34 / $22,624.32
| Facility | | $8,827.81 | $12,197.34 | $22,624.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,827.81 / $12,197.34 / $22,624.32
| Facility | | $8,827.81 | $12,197.34 | $22,624.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,611.42 / $24,205.75
| Facility | | $5,419.00 | $15,611.42 | $24,205.75 |