- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,342.50 / $24,610.50 / $34,045.69
| Facility | | $7,342.50 | $24,610.50 | $34,045.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,675.02
| Facility | | $1,146.00 | $3,000.00 | $11,675.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,263.04 / $12,798.71 / $23,739.77
| Facility | | $9,263.04 | $12,798.71 | $23,739.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,263.04 / $12,798.71 / $23,739.77
| Facility | | $9,263.04 | $12,798.71 | $23,739.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,381.12 / $25,399.18
| Facility | | $5,419.00 | $16,381.12 | $25,399.18 |