- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,703.80 / $21,075.90 / $37,087.60
| Facility | | $10,703.80 | $21,075.90 | $37,087.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,964.66 / $14,708.81 / $24,320.20
| Facility | | $9,964.66 | $14,708.81 | $24,320.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,091.60 / $19,283.08 / $26,825.02
| Facility | | $11,091.60 | $19,283.08 | $26,825.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,979.80 / $37,979.80 / $89,000.00
| Facility | | $37,979.80 | $37,979.80 | $89,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $16,737.66 / $26,095.45
| Facility | | $2,520.00 | $16,737.66 | $26,095.45 |