- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,449.00 / $28,319.20 / $39,176.30
| Facility | | $8,449.00 | $28,319.20 | $39,176.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $5,649.08
| Facility | | $1,146.00 | $3,000.00 | $5,649.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,658.97 / $14,727.45 / $27,317.31
| Facility | | $10,658.97 | $14,727.45 | $27,317.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,658.97 / $14,727.45 / $27,317.31
| Facility | | $10,658.97 | $14,727.45 | $27,317.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,849.72 / $29,226.78
| Facility | | $5,419.00 | $18,849.72 | $29,226.78 |