- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,526.25 / $16,240.80 / $19,610.40
| Facility | | $8,526.25 | $16,240.80 | $19,610.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $14,665.15 / $25,068.74
| Facility | | $6,916.00 | $14,665.15 | $25,068.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,696.40 / $13,989.22 / $16,691.38
| Facility | | $11,696.40 | $13,989.22 | $16,691.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,480.58 / $12,246.30 / $15,914.80
| Facility | | $8,480.58 | $12,246.30 | $15,914.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,652.04 / $14,665.15 / $22,238.95
| Facility | | $8,652.04 | $14,665.15 | $22,238.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,506.60 / $13,265.21 / $16,891.09
| Facility | | $9,506.60 | $13,265.21 | $16,891.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,371.89 / $19,262.50
| Facility | | $3,775.00 | $13,371.89 | $19,262.50 |