- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,157.00 / $27,340.50 / $37,822.40
| Facility | | $8,157.00 | $27,340.50 | $37,822.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,540.81
| Facility | | $1,146.00 | $3,000.00 | $14,540.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,290.59 / $14,218.47 / $26,373.21
| Facility | | $10,290.59 | $14,218.47 | $26,373.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,290.59 / $14,682.60 / $26,373.21
| Facility | | $10,290.59 | $14,682.60 | $26,373.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,198.27 / $28,216.69
| Facility | | $5,419.00 | $18,198.27 | $28,216.69 |