- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,795.16 / $14,132.10 / $19,434.00
| Facility | | $7,795.16 | $14,132.10 | $19,434.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $15,722.00 / $23,454.00
| Facility | | $8,639.91 | $15,722.00 | $23,454.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,565.23 / $13,251.25 / $19,231.16
| Facility | | $7,565.23 | $13,251.25 | $19,231.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,243.58 / $14,243.58 / $17,295.78
| Facility | | $14,243.58 | $14,243.58 | $17,295.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,057.30 / $17,687.86 / $28,180.88
| Facility | | $14,057.30 | $17,687.86 | $28,180.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,781.33 / $14,132.10 / $19,298.59
| Facility | | $7,781.33 | $14,132.10 | $19,298.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,118.33 / $11,686.69 / $18,582.02
| Facility | | $7,118.33 | $11,686.69 | $18,582.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,114.60 / $9,798.53
| Facility | | $2,621.40 | $7,114.60 | $9,798.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $10,895.76 / $19,763.64
| Facility | | $5,130.00 | $10,895.76 | $19,763.64 |