- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,803.84 / $16,218.10
| Facility | | $8,912.51 | $13,803.84 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $14,791.08 / $19,952.62
| Facility | | $10,000.00 | $14,791.08 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,489.63 / $17,782.79
| Facility | | $8,317.64 | $13,489.63 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,125.38 / $19,952.62
| Facility | | $9,332.54 | $14,125.38 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $12,882.50 / $21,379.62
| Facility | | $4,073.80 | $12,882.50 | $21,379.62 |