- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,300.92 / $14,834.80 / $26,124.00
| Facility | | $9,300.92 | $14,834.80 | $26,124.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,538.17 / $10,768.77 / $16,033.58
| Facility | | $5,538.17 | $10,768.77 | $16,033.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,600.20 / $11,534.81 / $19,323.50
| Facility | | $8,600.20 | $11,534.81 | $19,323.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,093.60 / $8,409.90 / $11,372.53
| Facility | | $6,093.60 | $8,409.90 | $11,372.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,350.00 / $9,923.04 / $14,041.33
| Facility | | $5,350.00 | $9,923.04 | $14,041.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,061.72 / $10,566.67 / $14,425.94
| Facility | | $7,061.72 | $10,566.67 | $14,425.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,593.40 / $9,291.93 / $24,205.74
| Facility | | $3,593.40 | $9,291.93 | $24,205.74 |