- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,740.50 / $29,296.30 / $40,528.00
| Facility | | $8,740.50 | $29,296.30 | $40,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,440.05
| Facility | | $1,146.00 | $3,000.00 | $6,440.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,026.72 / $15,235.57 / $28,259.78
| Facility | | $11,026.72 | $15,235.57 | $28,259.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,026.72 / $15,235.57 / $28,259.78
| Facility | | $11,026.72 | $15,235.57 | $28,259.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $19,500.06 / $30,235.14
| Facility | | $5,419.00 | $19,500.06 | $30,235.14 |