- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,973.50 / $30,077.20 / $41,608.30
| Facility | | $8,973.50 | $30,077.20 | $41,608.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,711.57
| Facility | | $1,146.00 | $3,000.00 | $8,711.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,320.66 / $15,641.71 / $29,013.12
| Facility | | $11,320.66 | $15,641.71 | $29,013.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,320.66 / $16,152.30 / $29,013.12
| Facility | | $11,320.66 | $16,152.30 | $29,013.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,019.88 / $31,041.13
| Facility | | $5,419.00 | $20,019.88 | $31,041.13 |