- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,061.90 / $17,972.50 / $24,543.00
| Facility | | $10,061.90 | $17,972.50 | $24,543.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,048.00 / $18,741.54 / $28,173.00
| Facility | | $9,048.00 | $18,741.54 | $28,173.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,521.04 / $16,642.30 / $24,457.23
| Facility | | $9,521.04 | $16,642.30 | $24,457.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,114.27 / $18,114.27 / $21,995.89
| Facility | | $18,114.27 | $18,114.27 | $21,995.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,870.94 / $18,010.71 / $23,622.49
| Facility | | $9,870.94 | $18,010.71 | $23,622.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,913.49 / $17,785.00 / $24,543.00
| Facility | | $9,913.49 | $17,785.00 | $24,543.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,956.65 / $14,862.54 / $23,346.10
| Facility | | $8,956.65 | $14,862.54 | $23,346.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,871.78 / $12,308.18
| Facility | | $2,621.40 | $8,871.78 | $12,308.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $13,856.68 / $25,134.40
| Facility | | $5,404.00 | $13,856.68 | $25,134.40 |