- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,903.81 / $12,494.40 / $20,260.30
| Facility | | $7,903.81 | $12,494.40 | $20,260.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,943.93 / $12,159.60 / $27,991.35
| Facility | | $9,943.93 | $12,159.60 | $27,991.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,885.61 / $20,771.04
| Facility | | $100.00 | $9,885.61 | $20,771.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,136.89 / $13,114.00 / $23,004.58
| Facility | | $8,136.89 | $13,114.00 | $23,004.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,296.95 / $19,307.90 / $22,659.46
| Facility | | $13,296.95 | $19,307.90 | $22,659.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,464.92 / $11,081.99 / $23,205.22
| Facility | | $8,464.92 | $11,081.99 | $23,205.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,723.97 / $20,787.00
| Facility | | $5,693.00 | $10,723.97 | $20,787.00 |