- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $13,803.84 / $20,892.96
| Facility | | $10,000.00 | $13,803.84 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $11,220.18 / $14,454.40
| Facility | | $11,220.18 | $11,220.18 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $12,302.69 / $18,620.87
| Facility | | $7,762.47 | $12,302.69 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $12,022.64 / $21,379.62
| Facility | | $8,511.38 | $12,022.64 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.50 / $134.90 / $204.17
| Facility | | $95.50 | $134.90 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,489.63 / $19,498.45
| Facility | | $8,912.51 | $13,489.63 | $19,498.45 |