- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,111.50 / $17,132.59 / $23,701.00
| Facility | | $5,111.50 | $17,132.59 | $23,701.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,909.48
| Facility | | $1,146.00 | $3,000.00 | $5,909.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,448.49 / $8,909.86 / $16,526.50
| Facility | | $6,448.49 | $8,909.86 | $16,526.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,448.49 / $8,909.86 / $16,526.50
| Facility | | $6,448.49 | $8,909.86 | $16,526.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,804.81 / $11,403.76 / $17,681.70
| Facility | | $4,804.81 | $11,403.76 | $17,681.70 |