- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,663.00 / $25,684.70 / $35,531.80
| Facility | | $7,663.00 | $25,684.70 | $35,531.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,262.02
| Facility | | $1,146.00 | $3,000.00 | $15,262.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,667.37 / $13,357.38 / $24,776.01
| Facility | | $9,667.37 | $13,357.38 | $24,776.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,667.37 / $13,777.00 / $24,776.01
| Facility | | $9,667.37 | $13,777.00 | $24,776.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $17,096.15 / $26,507.85
| Facility | | $5,419.00 | $17,096.15 | $26,507.85 |