- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,848.93 / $21,877.62 / $34,673.69
| Facility | | $15,848.93 | $21,877.62 | $34,673.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,882.50 / $18,620.87 / $28,840.32
| Facility | | $12,882.50 | $18,620.87 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $18,620.87 / $33,113.11
| Facility | | $9,549.93 | $18,620.87 | $33,113.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $17,782.79 / $29,512.09
| Facility | | $7,585.78 | $17,782.79 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $14,454.40 / $24,547.09
| Facility | | $9,120.11 | $14,454.40 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $23,442.29 / $33,113.11
| Facility | | $10,000.00 | $23,442.29 | $33,113.11 |