- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,596.26 / $12,584.40 / $37,161.00
| Facility | | $7,596.26 | $12,584.40 | $37,161.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,988.00 / $9,945.54 / $11,812.35
| Facility | | $2,988.00 | $9,945.54 | $11,812.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,253.82 / $11,602.03 / $20,827.79
| Facility | | $7,253.82 | $11,602.03 | $20,827.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,040.20 / $13,313.11 / $20,018.00
| Facility | | $9,040.20 | $13,313.11 | $20,018.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,354.00 / $14,086.80 / $33,889.67
| Facility | | $7,354.00 | $14,086.80 | $33,889.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,688.13 / $14,067.53 / $21,781.00
| Facility | | $6,688.13 | $14,067.53 | $21,781.00 |