- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,390.98 / $16,774.09 / $22,906.50
| Facility | | $9,390.98 | $16,774.09 | $22,906.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,341.32 / $11,341.32 / $11,341.32
| Facility | | $11,341.32 | $11,341.32 | $11,341.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $19,482.25 / $27,235.00
| Facility | | $8,639.91 | $19,482.25 | $27,235.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,979.54 / $15,628.00 / $22,826.45
| Facility | | $8,979.54 | $15,628.00 | $22,826.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,906.43 / $16,906.43 / $20,529.23
| Facility | | $16,906.43 | $16,906.43 | $20,529.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,124.78 / $18,396.62 / $28,482.47
| Facility | | $11,124.78 | $18,396.62 | $28,482.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,252.46 / $16,774.09 / $22,668.40
| Facility | | $9,252.46 | $16,774.09 | $22,668.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,449.11 / $13,871.52 / $22,216.21
| Facility | | $8,449.11 | $13,871.52 | $22,216.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,455.96 / $11,712.44
| Facility | | $2,621.40 | $8,455.96 | $11,712.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,932.73 / $23,458.46
| Facility | | $5,404.00 | $12,932.73 | $23,458.46 |