- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,378.10 / $13,795.00 / $15,904.80
| Facility | | $11,378.10 | $13,795.00 | $15,904.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,233.57 / $16,123.43 / $26,150.24
| Facility | | $14,233.57 | $16,123.43 | $26,150.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $800.00 / $850.00 / $1,246.00
| Facility | | $800.00 | $850.00 | $1,246.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,898.20 / $10,994.13 / $27,651.11
| Facility | | $9,898.20 | $10,994.13 | $27,651.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $23,948.01
| Facility | | $2,332.00 | $5,310.00 | $23,948.01 |