- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,729.50 / $22,555.80 / $31,203.30
| Facility | | $6,729.50 | $22,555.80 | $31,203.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $4,863.68
| Facility | | $1,146.00 | $3,000.00 | $4,863.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,489.70 / $11,730.19 / $21,757.82
| Facility | | $8,489.70 | $11,730.19 | $21,757.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,489.70 / $11,730.19 / $21,757.82
| Facility | | $8,489.70 | $11,730.19 | $21,757.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,013.51 / $23,278.69
| Facility | | $5,419.00 | $15,013.51 | $23,278.69 |