- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,498.50 / $18,429.80 / $25,495.40
| Facility | | $5,498.50 | $18,429.80 | $25,495.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,896.00
| Facility | | $1,146.00 | $3,000.00 | $5,896.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,936.72 / $9,584.44 / $17,777.75
| Facility | | $6,936.72 | $9,584.44 | $17,777.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,936.72 / $9,584.44 / $17,777.75
| Facility | | $6,936.72 | $9,584.44 | $17,777.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,168.59 / $12,267.15 / $19,020.41
| Facility | | $5,168.59 | $12,267.15 | $19,020.41 |