- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $8,709.64 / $11,220.18
| Facility | | $7,585.78 | $8,709.64 | $11,220.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,890.45 / $9,332.54 / $15,488.17
| Facility | | $3,890.45 | $9,332.54 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $9,549.93 / $15,135.61
| Facility | | $7,413.10 | $9,549.93 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,011.87 / $10,000.00 / $16,218.10
| Facility | | $5,011.87 | $10,000.00 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $9,332.54 / $13,803.84
| Facility | | $6,456.54 | $9,332.54 | $13,803.84 |