- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $16,844.80 / $19,218.00
| Facility | | $10,000.00 | $16,844.80 | $19,218.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,696.38 / $18,696.38 / $20,489.18
| Facility | | $18,696.38 | $18,696.38 | $20,489.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $14,552.00
| Facility | | $1,252.00 | $3,715.00 | $14,552.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,572.31 / $19,672.47 / $33,764.11
| Facility | | $12,572.31 | $19,672.47 | $33,764.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,121.00 / $20,763.49 / $29,728.19
| Facility | | $5,121.00 | $20,763.49 | $29,728.19 |