- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,996.50 / $23,450.80 / $32,441.40
| Facility | | $6,996.50 | $23,450.80 | $32,441.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,231.41
| Facility | | $1,146.00 | $3,000.00 | $11,231.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,826.54 / $12,195.60 / $22,621.08
| Facility | | $8,826.54 | $12,195.60 | $22,621.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,826.54 / $12,593.70 / $22,621.08
| Facility | | $8,826.54 | $12,593.70 | $22,621.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,609.19 / $24,202.29
| Facility | | $5,419.00 | $15,609.19 | $24,202.29 |