- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,671.00 / $25,711.50 / $35,568.90
| Facility | | $7,671.00 | $25,711.50 | $35,568.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,641.78
| Facility | | $1,146.00 | $3,000.00 | $10,641.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,677.46 / $13,371.32 / $24,801.88
| Facility | | $9,677.46 | $13,371.32 | $24,801.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,677.46 / $13,371.32 / $24,801.88
| Facility | | $9,677.46 | $13,371.32 | $24,801.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,114.00 / $26,535.52
| Facility | | $5,419.00 | $17,114.00 | $26,535.52 |