- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $15,135.61 / $19,498.45
| Facility | | $13,182.57 | $15,135.61 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,884.03 / $7,762.47 / $19,498.45
| Facility | | $2,884.03 | $7,762.47 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $15,848.93 / $26,302.68
| Facility | | $6,606.93 | $15,848.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $14,125.38 / $20,892.96
| Facility | | $12,589.25 | $14,125.38 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $17,378.01 / $28,183.83
| Facility | | $8,709.64 | $17,378.01 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $15,848.93 / $23,988.33
| Facility | | $10,000.00 | $15,848.93 | $23,988.33 |