- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,274.35 / $14,660.90 / $23,773.50
| Facility | | $9,274.35 | $14,660.90 | $23,773.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,667.67 / $14,267.42 / $32,843.54
| Facility | | $11,667.67 | $14,267.42 | $32,843.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,957.02 / $23,574.87
| Facility | | $100.00 | $10,957.02 | $23,574.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,584.00 / $15,312.01 / $26,993.63
| Facility | | $9,584.00 | $15,312.01 | $26,993.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,601.93 / $22,654.85 / $26,587.39
| Facility | | $15,601.93 | $22,654.85 | $26,587.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,347.17 / $13,075.95 / $27,229.07
| Facility | | $10,347.17 | $13,075.95 | $27,229.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $11,914.16 / $24,391.52
| Facility | | $5,693.00 | $11,914.16 | $24,391.52 |