- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $10,000.00 / $27,542.29
| Facility | | $6,456.54 | $10,000.00 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $11,481.54 / $18,197.01
| Facility | | $5,495.41 | $11,481.54 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,589.25 / $19,952.62
| Facility | | $8,912.51 | $12,589.25 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $13,489.63 / $18,197.01
| Facility | | $8,709.64 | $13,489.63 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39,810.72 / $39,810.72 / $39,810.72
| Facility | | $39,810.72 | $39,810.72 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,951.21 / $14,125.38 / $21,379.62
| Facility | | $2,951.21 | $14,125.38 | $21,379.62 |