- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,054.61 / $29,512.09 / $56,234.13
| Facility | | $19,054.61 | $29,512.09 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $11,748.98 / $28,183.83
| Facility | | $10,000.00 | $11,748.98 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $25,118.86 / $40,738.03
| Facility | | $16,595.87 | $25,118.86 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $21,379.62 / $40,738.03
| Facility | | $10,471.29 | $21,379.62 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $26,302.68 / $37,153.52
| Facility | | $6,606.93 | $26,302.68 | $37,153.52 |