- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,676.50 / $32,433.50 / $44,868.00
| Facility | | $9,676.50 | $32,433.50 | $44,868.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,147.49
| Facility | | $1,146.00 | $3,000.00 | $10,147.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,207.54 / $16,867.11 / $31,286.06
| Facility | | $12,207.54 | $16,867.11 | $31,286.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,207.54 / $16,867.11 / $31,286.06
| Facility | | $12,207.54 | $16,867.11 | $31,286.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,878.57 / $33,472.94
| Facility | | $5,419.00 | $21,878.57 | $33,472.94 |