- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,644.50 / $32,326.30 / $44,719.60
| Facility | | $9,644.50 | $32,326.30 | $44,719.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $19,425.16
| Facility | | $1,146.00 | $3,000.00 | $19,425.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,167.17 / $16,811.33 / $31,182.60
| Facility | | $12,167.17 | $16,811.33 | $31,182.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,167.17 / $16,811.33 / $30,195.06
| Facility | | $12,167.17 | $16,811.33 | $30,195.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,516.88 / $33,362.25
| Facility | | $5,419.00 | $21,516.88 | $33,362.25 |