- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,125.38 / $16,595.87 / $33,113.11
| Facility | | $14,125.38 | $16,595.87 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $14,454.40 / $20,417.38
| Facility | | $8,709.64 | $14,454.40 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $12,882.50 / $18,620.87
| Facility | | $10,000.00 | $12,882.50 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $8,511.38 / $10,964.78
| Facility | | $7,585.78 | $8,511.38 | $10,964.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $12,589.25 / $19,952.62
| Facility | | $10,000.00 | $12,589.25 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $10,232.93 / $12,022.64
| Facility | | $7,762.47 | $10,232.93 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $13,182.57 / $16,218.10
| Facility | | $10,232.93 | $13,182.57 | $16,218.10 |