- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $19,498.45 / $26,302.68
| Facility | | $10,471.29 | $19,498.45 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $14,125.38 / $22,908.68
| Facility | | $9,549.93 | $14,125.38 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $20,892.96 / $28,183.83
| Facility | | $10,000.00 | $20,892.96 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $14,791.08 / $30,902.95
| Facility | | $6,456.54 | $14,791.08 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $15,135.61 / $30,199.52
| Facility | | $5,754.40 | $15,135.61 | $30,199.52 |