- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,014.50 / $18,169.59 / $22,377.30
| Facility | | $15,014.50 | $18,169.59 | $22,377.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,695.92 / $16,048.52 / $16,326.54
| Facility | | $14,695.92 | $16,048.52 | $16,326.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,338.24 / $18,536.63 / $29,046.65
| Facility | | $14,338.24 | $18,536.63 | $29,046.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,390.00 / $5,392.50 / $10,718.77
| Facility | | $3,390.00 | $5,392.50 | $10,718.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,576.06 / $23,423.81 / $30,913.12
| Facility | | $17,576.06 | $23,423.81 | $30,913.12 |