- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,040.79 / $17,397.00 / $23,757.10
| Facility | | $10,040.79 | $17,397.00 | $23,757.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,423.97 / $22,423.97 / $22,423.97
| Facility | | $22,423.97 | $22,423.97 | $22,423.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $18,120.88 / $27,628.00
| Facility | | $8,639.91 | $18,120.88 | $27,628.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,313.00 / $16,109.41 / $23,674.10
| Facility | | $9,313.00 | $16,109.41 | $23,674.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,534.24 / $17,534.24 / $21,291.58
| Facility | | $17,534.24 | $17,534.24 | $21,291.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,194.90 / $18,182.11 / $32,815.74
| Facility | | $12,194.90 | $18,182.11 | $32,815.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,596.04 / $17,025.59 / $23,510.20
| Facility | | $9,596.04 | $17,025.59 | $23,510.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,762.86 / $14,386.63 / $22,515.55
| Facility | | $8,762.86 | $14,386.63 | $22,515.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,569.92 / $11,870.26
| Facility | | $2,621.40 | $8,569.92 | $11,870.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $13,412.98 / $24,329.58
| Facility | | $5,404.00 | $13,412.98 | $24,329.58 |