- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,259.50 / $20,980.50 / $29,024.00
| Facility | | $6,259.50 | $20,980.50 | $29,024.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,392.58
| Facility | | $1,146.00 | $3,000.00 | $8,392.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.77 / $10,910.93 / $20,238.22
| Facility | | $7,896.77 | $10,910.93 | $20,238.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,896.77 / $10,910.93 / $20,238.22
| Facility | | $7,896.77 | $10,910.93 | $20,238.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $13,964.94 / $21,652.86
| Facility | | $5,419.00 | $13,964.94 | $21,652.86 |