- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $12,022.64 / $12,302.69
| Facility | | $10,000.00 | $12,022.64 | $12,302.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $12,882.50 / $18,620.87
| Facility | | $7,413.10 | $12,882.50 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,471.29 / $18,620.87
| Facility | | $7,762.47 | $10,471.29 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $10,000.00 / $12,882.50
| Facility | | $8,709.64 | $10,000.00 | $12,882.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $11,748.98 / $19,498.45
| Facility | | $7,413.10 | $11,748.98 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $7,585.78 / $10,000.00
| Facility | | $85.11 | $7,585.78 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $13,803.84 / $14,125.38
| Facility | | $10,964.78 | $13,803.84 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $12,589.25 / $17,378.01
| Facility | | $7,413.10 | $12,589.25 | $17,378.01 |