- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,801.78 / $15,964.20 / $24,604.70
| Facility | | $9,801.78 | $15,964.20 | $24,604.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,772.36 / $13,172.62 / $30,323.32
| Facility | | $10,772.36 | $13,172.62 | $30,323.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,934.26 / $23,993.61
| Facility | | $100.00 | $10,934.26 | $23,993.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,490.86 / $15,926.00 / $27,937.39
| Facility | | $10,490.86 | $15,926.00 | $27,937.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,404.73 / $20,916.45 / $24,547.23
| Facility | | $14,404.73 | $20,916.45 | $24,547.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,594.02 / $13,471.80 / $28,181.06
| Facility | | $9,594.02 | $13,471.80 | $28,181.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,330.71 / $25,244.30
| Facility | | $5,693.00 | $12,330.71 | $25,244.30 |