- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,509.54 / $15,327.00 / $23,147.70
| Facility | | $8,509.54 | $15,327.00 | $23,147.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $21,118.44 / $29,346.00
| Facility | | $8,639.91 | $21,118.44 | $29,346.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,136.73 / $14,507.97 / $20,683.97
| Facility | | $8,136.73 | $14,507.97 | $20,683.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,319.60 / $15,319.60 / $18,602.37
| Facility | | $15,319.60 | $15,319.60 | $18,602.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,384.04 / $15,199.70 / $25,455.00
| Facility | | $8,384.04 | $15,199.70 | $25,455.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,656.08 / $13,627.54 / $20,637.32
| Facility | | $7,656.08 | $13,627.54 | $20,637.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,862.55 / $10,881.08
| Facility | | $2,621.40 | $7,862.55 | $10,881.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,206.32 / $13,325.39 / $24,248.44
| Facility | | $5,206.32 | $13,325.39 | $24,248.44 |