- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,678.00 / $22,383.20 / $30,964.60
| Facility | | $6,678.00 | $22,383.20 | $30,964.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,060.53
| Facility | | $1,146.00 | $3,000.00 | $10,060.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,424.74 / $11,640.42 / $21,591.31
| Facility | | $8,424.74 | $11,640.42 | $21,591.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,424.74 / $11,640.42 / $21,591.31
| Facility | | $8,424.74 | $11,640.42 | $21,591.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $14,898.62 / $23,100.54
| Facility | | $5,419.00 | $14,898.62 | $23,100.54 |