- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $18,620.87 / $25,703.96
| Facility | | $10,000.00 | $18,620.87 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $14,454.40 / $23,442.29
| Facility | | $9,772.37 | $14,454.40 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $19,952.62 / $27,542.29
| Facility | | $9,772.37 | $19,952.62 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $14,125.38 / $30,199.52
| Facility | | $6,165.95 | $14,125.38 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $14,454.40 / $28,840.32
| Facility | | $5,623.41 | $14,454.40 | $28,840.32 |