- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,219.50 / $24,198.20 / $33,475.40
| Facility | | $7,219.50 | $24,198.20 | $33,475.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,717.62
| Facility | | $1,146.00 | $3,000.00 | $8,717.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,107.87 / $12,584.31 / $23,342.09
| Facility | | $9,107.87 | $12,584.31 | $23,342.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,107.87 / $12,584.31 / $23,342.09
| Facility | | $9,107.87 | $12,584.31 | $23,342.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,005.41 / $24,973.69
| Facility | | $5,419.00 | $17,005.41 | $24,973.69 |