- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,038.75 / $17,217.00 / $20,789.09
| Facility | | $9,038.75 | $17,217.00 | $20,789.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $15,546.65 / $26,625.67
| Facility | | $6,916.00 | $15,546.65 | $26,625.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,189.12 / $14,784.79 / $17,449.08
| Facility | | $13,189.12 | $14,784.79 | $17,449.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,692.54 / $12,343.70 / $16,006.58
| Facility | | $8,692.54 | $12,343.70 | $16,006.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,180.21 / $15,597.67 / $23,620.13
| Facility | | $9,180.21 | $15,597.67 | $23,620.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,097.02 / $13,888.05 / $17,750.50
| Facility | | $10,097.02 | $13,888.05 | $17,750.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,175.65 / $20,420.34
| Facility | | $3,775.00 | $14,175.65 | $20,420.34 |