- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,018.93 / $15,626.40 / $21,339.20
| Facility | | $9,018.93 | $15,626.40 | $21,339.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $15,763.81 / $24,003.00
| Facility | | $8,639.91 | $15,763.81 | $24,003.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,365.16 / $14,652.41 / $21,264.64
| Facility | | $8,365.16 | $14,652.41 | $21,264.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,749.67 / $15,749.67 / $19,124.59
| Facility | | $15,749.67 | $15,749.67 | $19,124.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,073.45 / $16,935.38 / $22,303.01
| Facility | | $13,073.45 | $16,935.38 | $22,303.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,619.40 / $15,402.00 / $21,117.40
| Facility | | $8,619.40 | $15,402.00 | $21,117.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,871.01 / $12,922.42 / $20,154.59
| Facility | | $7,871.01 | $12,922.42 | $20,154.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,694.22 / $10,625.44
| Facility | | $2,621.40 | $7,694.22 | $10,625.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,352.48 / $12,047.86 / $21,853.41
| Facility | | $5,352.48 | $12,047.86 | $21,853.41 |