- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,746.29 / $19,463.80 / $29,671.40
| Facility | | $9,746.29 | $19,463.80 | $29,671.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,412.00 / $2,412.00 / $9,318.74
| Facility | | $2,412.00 | $2,412.00 | $9,318.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,106.00 / $18,461.86 / $29,623.66
| Facility | | $11,106.00 | $18,461.86 | $29,623.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,894.52 / $18,851.00 / $33,538.94
| Facility | | $11,894.52 | $18,851.00 | $33,538.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $12,417.16 / $33,092.00
| Facility | | $1,000.00 | $12,417.16 | $33,092.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $3,308.00 / $32,127.82
| Facility | | $600.00 | $3,308.00 | $32,127.82 |