- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $10,471.29 / $18,197.01
| Facility | | $8,511.38 | $10,471.29 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $10,000.00 / $11,481.54
| Facility | | $10,000.00 | $10,000.00 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $10,715.19 / $16,982.44
| Facility | | $6,309.57 | $10,715.19 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,125.38 / $18,620.87
| Facility | | $9,332.54 | $14,125.38 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $12,882.50 / $19,952.62
| Facility | | $8,709.64 | $12,882.50 | $19,952.62 |