- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,687.04 / $15,749.00 / $21,506.60
| Facility | | $8,687.04 | $15,749.00 | $21,506.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $17,768.93 / $26,478.32
| Facility | | $8,639.91 | $17,768.93 | $26,478.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,430.79 / $15,027.48 / $21,669.43
| Facility | | $8,430.79 | $15,027.48 | $21,669.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,873.26 / $15,873.26 / $19,274.66
| Facility | | $15,873.26 | $15,873.26 | $19,274.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,217.90 / $16,981.20 / $25,036.13
| Facility | | $8,217.90 | $16,981.20 | $25,036.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,671.62 / $15,749.00 / $21,506.60
| Facility | | $8,671.62 | $15,749.00 | $21,506.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,932.78 / $14,093.08 / $20,306.36
| Facility | | $7,932.78 | $14,093.08 | $20,306.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,740.62 / $10,695.46
| Facility | | $2,621.40 | $7,740.62 | $10,695.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,394.48 / $12,142.40 / $22,024.89
| Facility | | $5,394.48 | $12,142.40 | $22,024.89 |