- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,933.33 / $15,956.60 / $24,300.40
| Facility | | $8,933.33 | $15,956.60 | $24,300.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,728.00 / $25,185.82 / $33,709.00
| Facility | | $10,728.00 | $25,185.82 | $33,709.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,541.95 / $14,962.08 / $21,714.05
| Facility | | $8,541.95 | $14,962.08 | $21,714.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,082.53 / $16,082.53 / $19,528.78
| Facility | | $16,082.53 | $16,082.53 | $19,528.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,060.52 / $17,535.49 / $27,864.10
| Facility | | $11,060.52 | $17,535.49 | $27,864.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,801.57 / $15,956.60 / $26,366.00
| Facility | | $8,801.57 | $15,956.60 | $26,366.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,037.36 / $14,278.88 / $20,913.47
| Facility | | $8,037.36 | $14,278.88 | $20,913.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,967.19 / $11,026.68
| Facility | | $2,621.40 | $7,967.19 | $11,026.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,302.48 / $22,315.26
| Facility | | $5,404.00 | $12,302.48 | $22,315.26 |