- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,683.50 / $25,753.40 / $35,626.90
| Facility | | $7,683.50 | $25,753.40 | $35,626.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,484.19
| Facility | | $1,146.00 | $3,000.00 | $8,484.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,693.24 / $13,830.30 / $24,842.29
| Facility | | $9,693.24 | $13,830.30 | $24,842.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,693.24 / $13,830.30 / $24,055.55
| Facility | | $9,693.24 | $13,830.30 | $24,055.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $19,008.25 / $26,578.76
| Facility | | $5,419.00 | $19,008.25 | $26,578.76 |