- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,379.00 / $24,732.80 / $34,214.90
| Facility | | $7,379.00 | $24,732.80 | $34,214.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,747.84
| Facility | | $1,146.00 | $3,000.00 | $8,747.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,309.10 / $12,862.33 / $23,857.78
| Facility | | $9,309.10 | $12,862.33 | $23,857.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,309.10 / $12,862.33 / $23,857.78
| Facility | | $9,309.10 | $12,862.33 | $23,857.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,462.55 / $25,525.44
| Facility | | $5,419.00 | $16,462.55 | $25,525.44 |