- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,048.50 / $30,328.60 / $41,956.10
| Facility | | $9,048.50 | $30,328.60 | $41,956.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,940.82
| Facility | | $1,146.00 | $3,000.00 | $8,940.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,415.28 / $15,772.44 / $29,255.61
| Facility | | $11,415.28 | $15,772.44 | $29,255.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,415.28 / $15,772.44 / $29,255.61
| Facility | | $11,415.28 | $15,772.44 | $29,255.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,187.20 / $31,300.57
| Facility | | $5,419.00 | $20,187.20 | $31,300.57 |