- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,000.00 / $17,143.20 / $20,700.00
| Facility | | $9,000.00 | $17,143.20 | $20,700.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $15,480.00 / $26,196.05
| Facility | | $6,916.00 | $15,480.00 | $26,196.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,990.56 / $14,783.31 / $18,444.18
| Facility | | $12,990.56 | $14,783.31 | $18,444.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,048.65 / $12,263.80 / $15,870.80
| Facility | | $8,048.65 | $12,263.80 | $15,870.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,033.56 / $15,340.32 / $23,438.16
| Facility | | $9,033.56 | $15,340.32 | $23,438.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,934.10 / $13,856.94 / $17,916.45
| Facility | | $9,934.10 | $13,856.94 | $17,916.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,114.88 / $20,332.80
| Facility | | $3,775.00 | $14,114.88 | $20,332.80 |