- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,091.50 / $23,769.20 / $32,881.90
| Facility | | $7,091.50 | $23,769.20 | $32,881.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,725.70
| Facility | | $1,146.00 | $3,000.00 | $11,725.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,946.40 / $12,361.19 / $22,928.24
| Facility | | $8,946.40 | $12,361.19 | $22,928.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,946.40 / $12,361.19 / $22,928.24
| Facility | | $8,946.40 | $12,361.19 | $22,928.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,821.14 / $24,530.92
| Facility | | $5,419.00 | $15,821.14 | $24,530.92 |