- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $17,378.01 / $25,118.86
| Facility | | $10,000.00 | $17,378.01 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $22,908.68 / $22,908.68
| Facility | | $22,908.68 | $22,908.68 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $20,417.38 / $26,302.68
| Facility | | $10,964.78 | $20,417.38 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $16,982.44 / $22,908.68
| Facility | | $9,772.37 | $16,982.44 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,620.87 / $18,620.87 / $22,908.68
| Facility | | $18,620.87 | $18,620.87 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $18,197.01 / $22,387.21
| Facility | | $5,370.32 | $18,197.01 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,488.17 / $25,118.86
| Facility | | $11,481.54 | $15,488.17 | $25,118.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $16,595.87 / $24,547.09
| Facility | | $9,549.93 | $16,595.87 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $9,549.93 / $15,488.17
| Facility | | $7,762.47 | $9,549.93 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $13,489.63 / $23,442.29
| Facility | | $5,495.41 | $13,489.63 | $23,442.29 |