- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,802.80 / $17,077.09 / $27,691.50
| Facility | | $10,802.80 | $17,077.09 | $27,691.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,388.00 / $11,885.08 / $36,812.00
| Facility | | $8,388.00 | $11,885.08 | $36,812.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,517.94 / $15,307.15 / $35,236.98
| Facility | | $12,517.94 | $15,307.15 | $35,236.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $12,505.00 / $38,661.00
| Facility | | $100.00 | $12,505.00 | $38,661.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,184.67 / $18,274.41 / $31,442.28
| Facility | | $12,184.67 | $18,274.41 | $31,442.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,738.90 / $24,305.80 / $28,524.92
| Facility | | $16,738.90 | $24,305.80 | $28,524.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,062.42 / $15,161.91 / $31,716.52
| Facility | | $11,062.42 | $15,161.91 | $31,716.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $13,877.66 / $28,411.33
| Facility | | $5,693.00 | $13,877.66 | $28,411.33 |