- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,234.50 / $17,544.90 / $24,271.30
| Facility | | $5,234.50 | $17,544.90 | $24,271.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,329.16
| Facility | | $1,146.00 | $3,000.00 | $5,329.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,603.67 / $9,124.26 / $16,924.18
| Facility | | $6,603.67 | $9,124.26 | $16,924.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,603.67 / $9,422.10 / $16,924.18
| Facility | | $6,603.67 | $9,422.10 | $16,924.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,920.43 / $11,678.17 / $18,107.18
| Facility | | $4,920.43 | $11,678.17 | $18,107.18 |