- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $14,454.40 / $14,791.08
| Facility | | $12,022.64 | $14,454.40 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $15,488.17 / $22,387.21
| Facility | | $8,912.51 | $15,488.17 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $12,589.25 / $22,387.21
| Facility | | $9,332.54 | $12,589.25 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $12,022.64 / $15,488.17
| Facility | | $10,471.29 | $12,022.64 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $14,125.38 / $23,442.29
| Facility | | $8,912.51 | $14,125.38 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.33 / $9,120.11 / $12,022.64
| Facility | | $102.33 | $9,120.11 | $12,022.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $16,595.87 / $16,982.44
| Facility | | $13,182.57 | $16,595.87 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $15,135.61 / $20,892.96
| Facility | | $8,912.51 | $15,135.61 | $20,892.96 |