- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,329.50 / $21,215.10 / $29,348.60
| Facility | | $6,329.50 | $21,215.10 | $29,348.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $7,307.27
| Facility | | $1,146.00 | $3,000.00 | $7,307.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,985.08 / $11,032.95 / $20,464.54
| Facility | | $7,985.08 | $11,032.95 | $20,464.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,985.08 / $11,032.95 / $20,464.54
| Facility | | $7,985.08 | $11,032.95 | $20,464.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $14,121.11 / $21,895.01
| Facility | | $5,419.00 | $14,121.11 | $21,895.01 |