- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,051.28 / $14,592.10 / $40,835.00
| Facility | | $8,051.28 | $14,592.10 | $40,835.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,469.77 / $13,694.38 / $16,027.12
| Facility | | $8,469.77 | $13,694.38 | $16,027.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,393.91 / $11,487.03 / $26,443.10
| Facility | | $9,393.91 | $11,487.03 | $26,443.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,340.04 / $22,233.64
| Facility | | $100.00 | $10,340.04 | $22,233.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,846.56 / $14,828.28 / $25,211.93
| Facility | | $9,846.56 | $14,828.28 | $25,211.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,561.48 / $18,239.95 / $21,406.13
| Facility | | $12,561.48 | $18,239.95 | $21,406.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,434.49 / $11,872.97 / $24,220.92
| Facility | | $8,434.49 | $11,872.97 | $24,220.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,991.00 / $20,895.41
| Facility | | $5,693.00 | $10,991.00 | $20,895.41 |