- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,180.60 / $9,331.08 / $14,092.30
| Facility | | $5,180.60 | $9,331.08 | $14,092.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,229.00 / $12,658.00 / $18,892.00
| Facility | | $8,229.00 | $12,658.00 | $18,892.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,953.63 / $8,832.43 / $13,700.03
| Facility | | $4,953.63 | $8,832.43 | $13,700.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,326.54 / $9,326.54 / $11,325.09
| Facility | | $9,326.54 | $9,326.54 | $11,325.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,180.60 / $9,520.12 / $614,004.00
| Facility | | $7,180.60 | $9,520.12 | $614,004.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,104.18 / $9,253.53 / $14,092.30
| Facility | | $5,104.18 | $9,253.53 | $14,092.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,661.01 / $8,296.43 / $12,732.17
| Facility | | $4,661.01 | $8,296.43 | $12,732.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $4,595.68 / $6,101.85
| Facility | | $2,621.40 | $4,595.68 | $6,101.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $7,134.43 / $12,941.02
| Facility | | $3,775.00 | $7,134.43 | $12,941.02 |