- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $15,488.17 / $25,703.96
| Facility | | $10,232.93 | $15,488.17 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $14,125.38 / $18,620.87
| Facility | | $10,000.00 | $14,125.38 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,456.54 / $16,218.10
| Facility | | $6,456.54 | $6,456.54 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $9,549.93 / $12,022.64
| Facility | | $7,585.78 | $9,549.93 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $12,302.69 / $17,378.01
| Facility | | $8,128.31 | $12,302.69 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $13,803.84 / $19,054.61
| Facility | | $4,786.30 | $13,803.84 | $19,054.61 |