- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,480.46 / $14,986.80 / $24,301.90
| Facility | | $9,480.46 | $14,986.80 | $24,301.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,614.04 / $12,979.03 / $29,877.67
| Facility | | $10,614.04 | $12,979.03 | $29,877.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $11,016.02 / $21,376.87
| Facility | | $100.00 | $11,016.02 | $21,376.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,115.99 / $15,730.00 / $27,593.57
| Facility | | $10,115.99 | $15,730.00 | $27,593.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,193.03 / $20,609.05 / $24,186.47
| Facility | | $14,193.03 | $20,609.05 | $24,186.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,459.68 / $13,306.01 / $27,834.24
| Facility | | $9,459.68 | $13,306.01 | $27,834.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,178.95 / $24,933.62
| Facility | | $5,693.00 | $12,178.95 | $24,933.62 |