- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,577.36 / $17,148.09 / $28,748.00
| Facility | | $8,577.36 | $17,148.09 | $28,748.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,734.71 / $10,680.96 / $24,587.52
| Facility | | $8,734.71 | $10,680.96 | $24,587.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,333.87 / $21,097.00
| Facility | | $100.00 | $9,333.87 | $21,097.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,238.64 / $16,211.75 / $27,982.02
| Facility | | $9,238.64 | $16,211.75 | $27,982.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,680.00 / $16,960.00 / $19,904.00
| Facility | | $11,680.00 | $16,960.00 | $19,904.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,878.80 / $12,930.00 / $27,982.02
| Facility | | $7,878.80 | $12,930.00 | $27,982.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,797.00 / $16,797.00 / $16,797.00
| Facility | | $16,797.00 | $16,797.00 | $16,797.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,853.18 / $21,037.45
| Facility | | $5,693.00 | $10,853.18 | $21,037.45 |