- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,087.00 / $20,402.30 / $28,224.20
| Facility | | $6,087.00 | $20,402.30 | $28,224.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,306.04
| Facility | | $1,146.00 | $3,000.00 | $10,306.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,679.15 / $10,610.25 / $19,680.49
| Facility | | $7,679.15 | $10,610.25 | $19,680.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,679.15 / $10,956.60 / $19,680.49
| Facility | | $7,679.15 | $10,956.60 | $19,680.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $13,580.10 / $21,056.15
| Facility | | $5,419.00 | $13,580.10 | $21,056.15 |