- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,303.79 / $16,288.20 / $26,412.20
| Facility | | $10,303.79 | $16,288.20 | $26,412.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,868.30 / $14,512.75 / $33,408.29
| Facility | | $11,868.30 | $14,512.75 | $33,408.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $11,992.41 / $25,464.99
| Facility | | $100.00 | $11,992.41 | $25,464.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,950.46 / $17,430.23 / $29,989.80
| Facility | | $11,950.46 | $17,430.23 | $29,989.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,870.20 / $23,044.40 / $27,044.56
| Facility | | $15,870.20 | $23,044.40 | $27,044.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,515.92 / $14,527.33 / $30,251.37
| Facility | | $10,515.92 | $14,527.33 | $30,251.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $13,236.58 / $27,098.87
| Facility | | $5,693.00 | $13,236.58 | $27,098.87 |