- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,247.50 / $27,643.80 / $38,242.00
| Facility | | $8,247.50 | $27,643.80 | $38,242.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,005.70
| Facility | | $1,146.00 | $3,000.00 | $8,005.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,404.77 / $14,376.22 / $26,665.82
| Facility | | $10,404.77 | $14,376.22 | $26,665.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,404.77 / $14,845.50 / $26,665.82
| Facility | | $10,404.77 | $14,845.50 | $26,665.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $11,200.00 / $23,688.47
| Facility | | $5,419.00 | $11,200.00 | $23,688.47 |