- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,488.17 / $23,442.29
| Facility | | $11,220.18 | $15,488.17 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $13,803.84 / $20,417.38
| Facility | | $8,912.51 | $13,803.84 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $13,489.63 / $23,988.33
| Facility | | $9,549.93 | $13,489.63 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $151.36 / $229.09
| Facility | | $102.33 | $151.36 | $229.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $15,135.61 / $21,877.62
| Facility | | $10,000.00 | $15,135.61 | $21,877.62 |