- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,572.50 / $32,085.00 / $44,385.80
| Facility | | $9,572.50 | $32,085.00 | $44,385.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,590.64
| Facility | | $1,146.00 | $3,000.00 | $10,590.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,076.34 / $16,685.82 / $30,949.81
| Facility | | $12,076.34 | $16,685.82 | $30,949.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,076.34 / $16,685.82 / $30,949.81
| Facility | | $12,076.34 | $16,685.82 | $30,949.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,356.25 / $33,113.19
| Facility | | $5,419.00 | $21,356.25 | $33,113.19 |