- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,488.50 / $21,748.10 / $30,085.90
| Facility | | $6,488.50 | $21,748.10 | $30,085.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,645.11
| Facility | | $1,146.00 | $3,000.00 | $6,645.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,185.67 / $11,310.10 / $20,978.62
| Facility | | $8,185.67 | $11,310.10 | $20,978.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,185.67 / $11,310.10 / $20,978.62
| Facility | | $8,185.67 | $11,310.10 | $20,978.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $14,475.84 / $22,445.02
| Facility | | $5,419.00 | $14,475.84 | $22,445.02 |