- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,727.50 / $22,549.10 / $31,194.10
| Facility | | $6,727.50 | $22,549.10 | $31,194.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,755.00
| Facility | | $1,146.00 | $3,000.00 | $11,755.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,487.19 / $11,726.71 / $21,751.35
| Facility | | $8,487.19 | $11,726.71 | $21,751.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,487.19 / $11,726.71 / $21,751.35
| Facility | | $8,487.19 | $11,726.71 | $21,751.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,009.05 / $23,271.77
| Facility | | $5,419.00 | $15,009.05 | $23,271.77 |