- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $29,512.09
| Facility | | $11,481.54 | $15,848.93 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $18,620.87 / $19,054.61
| Facility | | $18,620.87 | $18,620.87 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $15,848.93 / $20,417.38
| Facility | | $10,000.00 | $15,848.93 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $16,982.44 / $32,359.37
| Facility | | $10,964.78 | $16,982.44 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,848.93 / $21,379.62
| Facility | | $10,232.93 | $15,848.93 | $21,379.62 |