- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,490.25 / $11,766.40 / $16,068.00
| Facility | | $6,490.25 | $11,766.40 | $16,068.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,192.64 / $12,629.63 / $20,160.13
| Facility | | $8,192.64 | $12,629.63 | $20,160.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,298.81 / $11,033.00 / $16,189.65
| Facility | | $6,298.81 | $11,033.00 | $16,189.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,859.22 / $11,859.22 / $14,400.48
| Facility | | $11,859.22 | $11,859.22 | $14,400.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,256.07 / $12,393.84 / $15,443.28
| Facility | | $7,256.07 | $12,393.84 | $15,443.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,478.74 / $11,624.00 / $15,901.10
| Facility | | $6,478.74 | $11,624.00 | $15,901.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,926.73 / $9,730.34 / $15,171.28
| Facility | | $5,926.73 | $9,730.34 | $15,171.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $5,827.25 / $7,927.96
| Facility | | $2,621.40 | $5,827.25 | $7,927.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,352.03 / $9,071.82 / $16,455.22
| Facility | | $4,352.03 | $9,071.82 | $16,455.22 |