- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $12,589.25 / $21,379.62
| Facility | | $10,000.00 | $12,589.25 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,748.98 / $24,547.09
| Facility | | $9,772.37 | $11,748.98 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $12,589.25 / $20,417.38
| Facility | | $7,413.10 | $12,589.25 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,715.19 / $16,595.87 / $21,877.62
| Facility | | $10,715.19 | $16,595.87 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $15,135.61 / $23,988.33
| Facility | | $10,000.00 | $15,135.61 | $23,988.33 |