- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,789.98 / $14,019.80 / $24,688.90
| Facility | | $8,789.98 | $14,019.80 | $24,688.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,600.00 / $11,555.62 / $17,123.50
| Facility | | $6,600.00 | $11,555.62 | $17,123.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,127.76 / $10,901.16 / $18,261.99
| Facility | | $8,127.76 | $10,901.16 | $18,261.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,001.34 / $10,028.29 / $13,847.23
| Facility | | $7,001.34 | $10,028.29 | $13,847.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,350.00 / $10,227.32 / $16,025.21
| Facility | | $5,350.00 | $10,227.32 | $16,025.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,097.39 / $11,342.30 / $15,420.47
| Facility | | $8,097.39 | $11,342.30 | $15,420.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,396.00 / $8,781.49 / $22,876.02
| Facility | | $3,396.00 | $8,781.49 | $22,876.02 |