- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,650.43 / $15,255.40 / $24,737.50
| Facility | | $9,650.43 | $15,255.40 | $24,737.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,226.44 / $12,505.06 / $28,786.60
| Facility | | $10,226.44 | $12,505.06 | $28,786.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,810.84 / $20,983.00
| Facility | | $100.00 | $10,810.84 | $20,983.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,907.07 / $16,325.03 / $28,088.25
| Facility | | $10,907.07 | $16,325.03 | $28,088.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,674.72 / $19,856.45 / $23,303.23
| Facility | | $13,674.72 | $19,856.45 | $23,303.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,134.81 / $13,544.55 / $28,333.23
| Facility | | $9,134.81 | $13,544.55 | $28,333.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,397.29 / $25,380.62
| Facility | | $5,693.00 | $12,397.29 | $25,380.62 |