- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,125.38 / $52,480.75
| Facility | | $10,471.29 | $14,125.38 | $52,480.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $9,772.37 / $24,547.09
| Facility | | $4,786.30 | $9,772.37 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $11,748.98 / $21,379.62
| Facility | | $6,456.54 | $11,748.98 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $10,000.00 / $151,356.12
| Facility | | $10,000.00 | $10,000.00 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $14,125.38 / $25,118.86
| Facility | | $10,232.93 | $14,125.38 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $14,125.38 / $33,884.42
| Facility | | $7,413.10 | $14,125.38 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $12,589.25 / $21,877.62
| Facility | | $7,413.10 | $12,589.25 | $21,877.62 |