- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,379.50 / $24,734.50 / $34,217.30
| Facility | | $7,379.50 | $24,734.50 | $34,217.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $906.15 / $1,146.00 / $3,000.00
| Facility | | $906.15 | $1,146.00 | $3,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,309.73 / $13,283.10 / $23,859.40
| Facility | | $9,309.73 | $13,283.10 | $23,859.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,509.71 / $12,863.21 / $23,859.40
| Facility | | $7,509.71 | $12,863.21 | $23,859.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,024.00 / $10,065.64 / $25,527.17
| Facility | | $2,024.00 | $10,065.64 | $25,527.17 |