- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,021.50 / $23,534.60 / $32,557.30
| Facility | | $7,021.50 | $23,534.60 | $32,557.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,942.24
| Facility | | $1,146.00 | $3,000.00 | $6,942.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,858.09 / $12,239.18 / $22,701.91
| Facility | | $8,858.09 | $12,239.18 | $22,701.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,858.09 / $12,239.18 / $22,701.91
| Facility | | $8,858.09 | $12,239.18 | $22,701.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,664.97 / $24,288.77
| Facility | | $5,419.00 | $15,664.97 | $24,288.77 |