- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,118.50 / $30,563.20 / $42,280.70
| Facility | | $9,118.50 | $30,563.20 | $42,280.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $9,768.04
| Facility | | $1,146.00 | $3,000.00 | $9,768.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,503.59 / $15,894.46 / $29,481.93
| Facility | | $11,503.59 | $15,894.46 | $29,481.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,503.59 / $16,413.30 / $29,481.93
| Facility | | $11,503.59 | $16,413.30 | $29,481.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,343.37 / $31,542.72
| Facility | | $5,419.00 | $20,343.37 | $31,542.72 |