- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,434.50 / $24,918.80 / $34,472.30
| Facility | | $7,434.50 | $24,918.80 | $34,472.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,083.11
| Facility | | $1,146.00 | $3,000.00 | $9,083.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,379.11 / $12,959.08 / $24,037.23
| Facility | | $9,379.11 | $12,959.08 | $24,037.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,379.11 / $13,382.10 / $24,037.23
| Facility | | $9,379.11 | $13,382.10 | $24,037.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,586.37 / $25,717.42
| Facility | | $5,419.00 | $16,586.37 | $25,717.42 |