- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,124.00 / $23,878.10 / $33,032.60
| Facility | | $7,124.00 | $23,878.10 | $33,032.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,962.24
| Facility | | $1,146.00 | $3,000.00 | $6,962.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,987.40 / $12,417.84 / $23,033.32
| Facility | | $8,987.40 | $12,417.84 | $23,033.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,987.40 / $12,823.20 / $23,033.32
| Facility | | $8,987.40 | $12,823.20 | $23,033.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,893.64 / $24,643.34
| Facility | | $5,419.00 | $15,893.64 | $24,643.34 |