- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,452.50 / $31,682.70 / $43,829.40
| Facility | | $9,452.50 | $31,682.70 | $43,829.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $7,047.80
| Facility | | $1,146.00 | $3,000.00 | $7,047.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,924.95 / $16,476.65 / $30,561.82
| Facility | | $11,924.95 | $16,476.65 | $30,561.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,924.95 / $16,476.65 / $30,561.82
| Facility | | $11,924.95 | $16,476.65 | $30,561.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,088.53 / $32,698.09
| Facility | | $5,419.00 | $21,088.53 | $32,698.09 |