- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,726.62 / $16,852.50 / $23,013.60
| Facility | | $9,726.62 | $16,852.50 | $23,013.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $16,437.50 / $25,041.79
| Facility | | $8,639.91 | $16,437.50 | $25,041.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,488.64 / $15,628.00 / $22,933.24
| Facility | | $8,488.64 | $15,628.00 | $22,933.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,985.52 / $16,985.52 / $20,625.28
| Facility | | $16,985.52 | $16,985.52 | $20,625.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,901.11 / $18,568.86 / $28,034.46
| Facility | | $11,901.11 | $18,568.86 | $28,034.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,295.75 / $16,492.80 / $22,774.50
| Facility | | $9,295.75 | $16,492.80 | $22,774.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,391.00 / $13,936.42 / $21,973.79
| Facility | | $8,391.00 | $13,936.42 | $21,973.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,366.12 / $11,585.73
| Facility | | $2,621.40 | $8,366.12 | $11,585.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,993.23 / $23,568.21
| Facility | | $5,404.00 | $12,993.23 | $23,568.21 |