- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,360.50 / $24,670.80 / $34,129.19
| Facility | | $7,360.50 | $24,670.80 | $34,129.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $2,775.85 / $4,262.91
| Facility | | $1,146.00 | $2,775.85 | $4,262.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,285.76 / $12,830.09 / $23,797.97
| Facility | | $9,285.76 | $12,830.09 | $23,797.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,285.76 / $12,830.09 / $23,797.97
| Facility | | $9,285.76 | $12,830.09 | $23,797.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,421.28 / $25,461.44
| Facility | | $5,419.00 | $16,421.28 | $25,461.44 |