- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,472.03 / $14,973.40 / $24,280.20
| Facility | | $9,472.03 | $14,973.40 | $24,280.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,257.43 / $11,320.14 / $23,844.27
| Facility | | $9,257.43 | $11,320.14 | $23,844.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,434.24 / $19,112.55
| Facility | | $100.00 | $10,434.24 | $19,112.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,647.97 / $15,978.14 / $27,569.01
| Facility | | $10,647.97 | $15,978.14 | $27,569.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,378.98 / $14,517.65 / $21,095.13
| Facility | | $12,378.98 | $14,517.65 | $21,095.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,319.67 / $13,294.16 / $27,809.46
| Facility | | $8,319.67 | $13,294.16 | $27,809.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,168.11 / $24,911.43
| Facility | | $5,693.00 | $12,168.11 | $24,911.43 |