- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,292.67 / $11,528.30 / $18,693.70
| Facility | | $7,292.67 | $11,528.30 | $18,693.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,181.97 / $10,005.04 / $23,031.59
| Facility | | $8,181.97 | $10,005.04 | $23,031.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,299.59 / $18,151.47
| Facility | | $100.00 | $9,299.59 | $18,151.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,497.98 / $12,797.40 / $21,410.95
| Facility | | $8,497.98 | $12,797.40 | $21,410.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,940.88 / $15,886.75 / $18,644.45
| Facility | | $10,940.88 | $15,886.75 | $18,644.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,414.98 / $10,467.00 / $22,134.00
| Facility | | $7,414.98 | $10,467.00 | $22,134.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,550.88 / $10,246.00 / $19,179.71
| Facility | | $5,550.88 | $10,246.00 | $19,179.71 |