- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,108.29 / $18,325.59 / $25,025.20
| Facility | | $10,108.29 | $18,325.59 | $25,025.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,064.00 / $18,454.00 / $29,127.00
| Facility | | $9,064.00 | $18,454.00 | $29,127.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,547.00 / $16,661.00 / $24,937.78
| Facility | | $9,547.00 | $16,661.00 | $24,937.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,470.18 / $18,470.18 / $22,428.09
| Facility | | $18,470.18 | $18,470.18 | $22,428.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,942.78 / $21,489.77 / $27,867.96
| Facility | | $17,942.78 | $21,489.77 | $27,867.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,090.29 / $17,601.50 / $24,765.20
| Facility | | $10,090.29 | $17,601.50 | $24,765.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,230.61 / $15,154.57 / $24,442.26
| Facility | | $9,230.61 | $15,154.57 | $24,442.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $9,260.51 / $12,886.13
| Facility | | $2,621.40 | $9,260.51 | $12,886.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $14,128.94 / $25,628.26
| Facility | | $5,404.00 | $14,128.94 | $25,628.26 |