- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,758.28 / $15,878.10 / $21,683.00
| Facility | | $8,758.28 | $15,878.10 | $21,683.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $15,796.81 / $24,515.00
| Facility | | $8,639.91 | $15,796.81 | $24,515.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,411.56 / $15,150.72 / $21,086.00
| Facility | | $8,411.56 | $15,150.72 | $21,086.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,003.43 / $16,003.43 / $19,432.74
| Facility | | $16,003.43 | $16,003.43 | $19,432.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,721.42 / $15,209.90 / $21,638.35
| Facility | | $8,721.42 | $15,209.90 | $21,638.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,742.74 / $15,250.80 / $21,457.70
| Facility | | $8,742.74 | $15,250.80 | $21,457.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,997.83 / $13,130.62 / $20,378.04
| Facility | | $7,997.83 | $13,130.62 | $20,378.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,771.83 / $10,744.37
| Facility | | $2,621.40 | $7,771.83 | $10,744.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,786.00 / $12,386.18 / $20,419.48
| Facility | | $3,786.00 | $12,386.18 | $20,419.48 |