- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.00 / $13,650.50 / $30,626.80
| Facility | | $8,802.00 | $13,650.50 | $30,626.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,759.89 / $11,103.59 / $13,300.95
| Facility | | $8,759.89 | $11,103.59 | $13,300.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,736.48 / $11,905.93 / $27,407.40
| Facility | | $9,736.48 | $11,905.93 | $27,407.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,149.26 / $21,285.22
| Facility | | $100.00 | $10,149.26 | $21,285.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,002.98 / $15,010.27 / $25,470.18
| Facility | | $10,002.98 | $15,010.27 | $25,470.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,019.55 / $18,905.09 / $22,186.74
| Facility | | $13,019.55 | $18,905.09 | $22,186.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,721.12 / $12,276.91 / $26,512.31
| Facility | | $8,721.12 | $12,276.91 | $26,512.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,717.00 / $11,893.04 / $21,973.16
| Facility | | $5,717.00 | $11,893.04 | $21,973.16 |