- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,037.50 / $16,884.59 / $23,357.90
| Facility | | $5,037.50 | $16,884.59 | $23,357.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $4,877.64
| Facility | | $1,146.00 | $3,000.00 | $4,877.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,355.14 / $8,780.87 / $16,287.25
| Facility | | $6,355.14 | $8,780.87 | $16,287.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,355.14 / $8,780.87 / $16,287.25
| Facility | | $6,355.14 | $8,780.87 | $16,287.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,735.25 / $11,238.66 / $17,425.72
| Facility | | $4,735.25 | $11,238.66 | $17,425.72 |