- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $23,442.29 / $53,703.18
| Facility | | $16,218.10 | $23,442.29 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $16,218.10 / $33,884.42
| Facility | | $9,549.93 | $16,218.10 | $33,884.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $22,387.21 / $35,481.34
| Facility | | $10,000.00 | $22,387.21 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $23,988.33 / $33,113.11
| Facility | | $15,488.17 | $23,988.33 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,952.62 / $36,307.81 / $54,954.09
| Facility | | $19,952.62 | $36,307.81 | $54,954.09 |