- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,633.00 / $32,287.70 / $44,666.30
| Facility | | $9,633.00 | $32,287.70 | $44,666.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,692.07
| Facility | | $1,146.00 | $3,000.00 | $6,692.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,152.67 / $16,791.28 / $31,145.42
| Facility | | $12,152.67 | $16,791.28 | $31,145.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,380.36 / $16,791.28 / $31,145.42
| Facility | | $10,380.36 | $16,791.28 | $31,145.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,491.22 / $33,322.47
| Facility | | $5,419.00 | $21,491.22 | $33,322.47 |