- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,447.50 / $28,314.20 / $39,169.40
| Facility | | $8,447.50 | $28,314.20 | $39,169.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,270.47
| Facility | | $1,146.00 | $3,000.00 | $11,270.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,657.08 / $14,724.84 / $27,312.46
| Facility | | $10,657.08 | $14,724.84 | $27,312.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,657.08 / $14,724.84 / $27,312.46
| Facility | | $10,657.08 | $14,724.84 | $27,312.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,846.37 / $29,221.59
| Facility | | $5,419.00 | $18,846.37 | $29,221.59 |