- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,981.67 / $15,939.70 / $24,299.20
| Facility | | $7,981.67 | $15,939.70 | $24,299.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,958.50 / $12,839.90 / $18,564.83
| Facility | | $4,958.50 | $12,839.90 | $18,564.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,094.17 / $15,117.53 / $24,257.40
| Facility | | $9,094.17 | $15,117.53 | $24,257.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,740.94 / $15,437.91 / $27,466.50
| Facility | | $9,740.94 | $15,437.91 | $27,466.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $10,168.95 / $27,100.48
| Facility | | $1,000.00 | $10,168.95 | $27,100.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $600.00 / $3,308.00 / $26,310.87
| Facility | | $600.00 | $3,308.00 | $26,310.87 |