- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,996.25 / $17,136.09 / $20,691.40
| Facility | | $8,996.25 | $17,136.09 | $20,691.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $15,473.55 / $26,196.05
| Facility | | $6,916.00 | $15,473.55 | $26,196.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,641.40 / $14,777.13 / $18,538.09
| Facility | | $12,641.40 | $14,777.13 | $18,538.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,307.58 / $12,261.15 / $16,348.20
| Facility | | $8,307.58 | $12,261.15 | $16,348.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,033.56 / $15,255.06 / $23,239.01
| Facility | | $9,033.56 | $15,255.06 | $23,239.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,934.10 / $13,727.53 / $17,738.13
| Facility | | $9,934.10 | $13,727.53 | $17,738.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,109.00 / $20,324.33
| Facility | | $3,775.00 | $14,109.00 | $20,324.33 |