- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,454.40 / $18,620.87 / $28,840.32
| Facility | | $14,454.40 | $18,620.87 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $12,302.69 / $13,489.63
| Facility | | $10,000.00 | $12,302.69 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $18,197.01 / $26,915.35
| Facility | | $6,918.31 | $18,197.01 | $26,915.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $14,791.08 / $27,542.29
| Facility | | $10,715.19 | $14,791.08 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $12,302.69 / $22,387.21
| Facility | | $3,311.31 | $12,302.69 | $22,387.21 |