- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.50 / $22,150.30 / $30,642.30
| Facility | | $6,608.50 | $22,150.30 | $30,642.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,776.85
| Facility | | $1,146.00 | $3,000.00 | $11,776.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,337.06 / $11,519.28 / $21,366.60
| Facility | | $8,337.06 | $11,519.28 | $21,366.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,337.06 / $11,895.30 / $21,366.60
| Facility | | $8,337.06 | $11,895.30 | $21,366.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $14,743.56 / $22,860.12
| Facility | | $5,419.00 | $14,743.56 | $22,860.12 |