- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $15,135.61 / $21,379.62
| Facility | | $10,000.00 | $15,135.61 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $19,498.45 / $33,113.11
| Facility | | $7,244.36 | $19,498.45 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,022.64 / $20,417.38
| Facility | | $8,912.51 | $12,022.64 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $13,803.84 / $19,952.62
| Facility | | $10,964.78 | $13,803.84 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $13,182.57 / $19,498.45
| Facility | | $7,079.46 | $13,182.57 | $19,498.45 |