- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,293.04 / $16,599.09 / $23,327.50
| Facility | | $9,293.04 | $16,599.09 | $23,327.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,207.00 / $20,946.00 / $29,127.00
| Facility | | $10,207.00 | $20,946.00 | $29,127.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,793.51 / $15,564.55 / $23,864.00
| Facility | | $8,793.51 | $15,564.55 | $23,864.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,730.11 / $16,730.11 / $20,315.14
| Facility | | $16,730.11 | $16,730.11 | $20,315.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,155.98 / $16,244.80 / $23,116.00
| Facility | | $9,155.98 | $16,244.80 | $23,116.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,272.25 / $13,726.86 / $21,402.52
| Facility | | $8,272.25 | $13,726.86 | $21,402.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,856.13 / $10,872.18
| Facility | | $2,621.40 | $7,856.13 | $10,872.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,797.86 / $23,213.82
| Facility | | $5,404.00 | $12,797.86 | $23,213.82 |