- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,055.84 / $14,018.80 / $31,307.70
| Facility | | $9,055.84 | $14,018.80 | $31,307.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,194.00 / $11,524.48 / $20,676.05
| Facility | | $4,194.00 | $11,524.48 | $20,676.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,089.95 / $12,338.17 / $28,402.42
| Facility | | $10,089.95 | $12,338.17 | $28,402.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,502.01 / $27,396.00
| Facility | | $100.00 | $10,502.01 | $27,396.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,386.27 / $15,507.00 / $26,036.42
| Facility | | $10,386.27 | $15,507.00 | $26,036.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,492.22 / $19,591.45 / $22,992.23
| Facility | | $13,492.22 | $19,591.45 | $22,992.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,020.00 / $12,762.92 / $27,101.72
| Facility | | $9,020.00 | $12,762.92 | $27,101.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $11,392.31 / $23,323.16
| Facility | | $5,693.00 | $11,392.31 | $23,323.16 |