- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,380.42 / $14,828.60 / $24,045.40
| Facility | | $9,380.42 | $14,828.60 | $24,045.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,959.56 / $14,548.50 / $27,399.01
| Facility | | $13,959.56 | $14,548.50 | $27,399.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,664.54 / $13,040.78 / $30,019.82
| Facility | | $10,664.54 | $13,040.78 | $30,019.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,830.15 / $33,589.00
| Facility | | $100.00 | $10,830.15 | $33,589.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,427.45 / $15,647.24 / $27,302.37
| Facility | | $10,427.45 | $15,647.24 | $27,302.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,260.55 / $20,707.09 / $24,301.54
| Facility | | $14,260.55 | $20,707.09 | $24,301.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,504.46 / $13,165.59 / $27,540.50
| Facility | | $9,504.46 | $13,165.59 | $27,540.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,050.43 / $24,670.50
| Facility | | $5,693.00 | $12,050.43 | $24,670.50 |