- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,297.96 / $13,117.50 / $21,270.70
| Facility | | $8,297.96 | $13,117.50 | $21,270.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,385.71 / $11,477.02 / $26,420.05
| Facility | | $9,385.71 | $11,477.02 | $26,420.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,973.85 / $19,027.43
| Facility | | $100.00 | $9,973.85 | $19,027.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,517.85 / $14,282.30 / $24,151.83
| Facility | | $9,517.85 | $14,282.30 | $24,151.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,550.53 / $18,224.05 / $21,387.47
| Facility | | $12,550.53 | $18,224.05 | $21,387.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,426.45 / $11,699.36 / $24,362.48
| Facility | | $8,426.45 | $11,699.36 | $24,362.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,991.00 / $21,823.66
| Facility | | $5,693.00 | $10,991.00 | $21,823.66 |