- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,645.12 / $13,666.20 / $22,160.60
| Facility | | $8,645.12 | $13,666.20 | $22,160.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,020.36 / $12,253.06 / $28,206.49
| Facility | | $10,020.36 | $12,253.06 | $28,206.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,590.21 / $21,106.84
| Facility | | $100.00 | $10,590.21 | $21,106.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,037.45 / $14,918.48 / $25,162.24
| Facility | | $10,037.45 | $14,918.48 | $25,162.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,399.15 / $19,456.30 / $22,833.62
| Facility | | $13,399.15 | $19,456.30 | $22,833.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,959.75 / $12,363.17 / $25,381.71
| Facility | | $8,959.75 | $12,363.17 | $25,381.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $11,105.84 / $22,736.67
| Facility | | $5,693.00 | $11,105.84 | $22,736.67 |