- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,612.26 / $15,958.00 / $18,602.00
| Facility | | $8,612.26 | $15,958.00 | $18,602.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,063.62 / $13,162.00 / $22,219.45
| Facility | | $9,063.62 | $13,162.00 | $22,219.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $8,635.16 / $19,629.88
| Facility | | $100.00 | $8,635.16 | $19,629.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,153.54 / $16,277.71 / $21,844.65
| Facility | | $9,153.54 | $16,277.71 | $21,844.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,119.83 / $17,598.65 / $20,653.50
| Facility | | $12,119.83 | $17,598.65 | $20,653.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,131.37 / $12,625.05 / $22,134.00
| Facility | | $8,131.37 | $12,625.05 | $22,134.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,869.00 / $10,869.00 / $10,869.00
| Facility | | $10,869.00 | $10,869.00 | $10,869.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,897.34 / $21,123.04
| Facility | | $5,693.00 | $10,897.34 | $21,123.04 |