- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,618.20 / $15,298.50 / $17,638.30
| Facility | | $12,618.20 | $15,298.50 | $17,638.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,808.22 / $29,808.22 / $29,808.22
| Facility | | $29,808.22 | $29,808.22 | $29,808.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,224.74 / $17,866.68 / $30,664.83
| Facility | | $11,224.74 | $17,866.68 | $30,664.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $26,558.12
| Facility | | $2,332.00 | $5,310.00 | $26,558.12 |