- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,497.00 / $25,128.30 / $34,762.10
| Facility | | $7,497.00 | $25,128.30 | $34,762.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $7,319.82
| Facility | | $1,146.00 | $3,000.00 | $7,319.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,457.95 / $13,068.02 / $24,239.30
| Facility | | $9,457.95 | $13,068.02 | $24,239.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,457.95 / $13,068.02 / $24,239.30
| Facility | | $9,457.95 | $13,068.02 | $24,239.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,725.81 / $25,933.62
| Facility | | $5,419.00 | $16,725.81 | $25,933.62 |