- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,154.00 / $30,682.20 / $42,445.30
| Facility | | $9,154.00 | $30,682.20 | $42,445.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,138.26
| Facility | | $1,146.00 | $3,000.00 | $6,138.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,548.38 / $15,956.34 / $29,596.71
| Facility | | $11,548.38 | $15,956.34 | $29,596.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,548.38 / $15,956.34 / $29,596.71
| Facility | | $11,548.38 | $15,956.34 | $29,596.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,422.57 / $31,665.52
| Facility | | $5,419.00 | $20,422.57 | $31,665.52 |