- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,316.04 / $13,146.00 / $21,317.00
| Facility | | $8,316.04 | $13,146.00 | $21,317.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,474.44 / $11,585.50 / $26,669.77
| Facility | | $9,474.44 | $11,585.50 | $26,669.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $10,195.70 / $20,457.63
| Facility | | $100.00 | $10,195.70 | $20,457.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,851.77 / $14,350.61 / $24,249.14
| Facility | | $9,851.77 | $14,350.61 | $24,249.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,669.15 / $18,396.30 / $21,589.62
| Facility | | $12,669.15 | $18,396.30 | $21,589.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,501.06 / $12,050.40 / $24,415.56
| Facility | | $8,501.06 | $12,050.40 | $24,415.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,991.00 / $21,871.21
| Facility | | $5,693.00 | $10,991.00 | $21,871.21 |