- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,545.10 / $22,486.00 / $26,210.00
| Facility | | $11,545.10 | $22,486.00 | $26,210.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,789.14 / $17,628.00 / $28,901.02
| Facility | | $11,789.14 | $17,628.00 | $28,901.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $12,483.97 / $22,477.70
| Facility | | $100.00 | $12,483.97 | $22,477.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,435.13 / $21,820.88 / $28,655.64
| Facility | | $12,435.13 | $21,820.88 | $28,655.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,764.35 / $22,890.70 / $26,864.18
| Facility | | $15,764.35 | $22,890.70 | $26,864.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,492.48 / $16,924.34 / $29,283.56
| Facility | | $10,492.48 | $16,924.34 | $29,283.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,314.00 / $15,314.00 / $15,314.00
| Facility | | $15,314.00 | $15,314.00 | $15,314.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $13,831.20 / $28,316.23
| Facility | | $5,693.00 | $13,831.20 | $28,316.23 |