- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,351.50 / $31,344.20 / $43,361.00
| Facility | | $9,351.50 | $31,344.20 | $43,361.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,690.58
| Facility | | $1,146.00 | $3,000.00 | $12,690.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,797.53 / $16,300.60 / $30,235.27
| Facility | | $11,797.53 | $16,300.60 | $30,235.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,797.53 / $16,832.70 / $30,235.27
| Facility | | $11,797.53 | $16,832.70 | $30,235.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,863.20 / $32,348.71
| Facility | | $5,419.00 | $20,863.20 | $32,348.71 |