- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,618.13 / $12,042.80 / $19,528.00
| Facility | | $7,618.13 | $12,042.80 | $19,528.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,999.49 / $11,004.72 / $25,332.82
| Facility | | $8,999.49 | $11,004.72 | $25,332.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,937.73 / $20,933.27
| Facility | | $100.00 | $9,937.73 | $20,933.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,174.74 / $13,146.23 / $22,366.48
| Facility | | $9,174.74 | $13,146.23 | $22,366.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,034.05 / $17,474.09 / $20,507.34
| Facility | | $12,034.05 | $17,474.09 | $20,507.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,102.69 / $11,631.23 / $23,281.62
| Facility | | $8,102.69 | $11,631.23 | $23,281.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,656.15 / $20,035.66
| Facility | | $5,693.00 | $10,656.15 | $20,035.66 |