- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,649.23 / $15,253.50 / $24,734.40
| Facility | | $9,649.23 | $15,253.50 | $24,734.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,843.33 / $13,259.41 / $30,523.10
| Facility | | $10,843.33 | $13,259.41 | $30,523.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $11,002.75 / $24,463.32
| Facility | | $100.00 | $11,002.75 | $24,463.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,744.45 / $16,122.91 / $28,084.74
| Facility | | $10,744.45 | $16,122.91 | $28,084.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,499.63 / $21,054.25 / $24,708.95
| Facility | | $14,499.63 | $21,054.25 | $24,708.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,653.71 / $13,542.86 / $28,329.70
| Facility | | $9,653.71 | $13,542.86 | $28,329.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $12,395.74 / $25,377.45
| Facility | | $5,693.00 | $12,395.74 | $25,377.45 |