- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,437.89 / $16,489.30 / $22,980.60
| Facility | | $9,437.89 | $16,489.30 | $22,980.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,333.00 / $19,272.00 / $29,127.00
| Facility | | $9,333.00 | $19,272.00 | $29,127.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,753.75 / $15,333.07 / $22,252.45
| Facility | | $8,753.75 | $15,333.07 | $22,252.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,481.30 / $16,481.30 / $20,013.00
| Facility | | $16,481.30 | $16,481.30 | $20,013.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,795.38 / $18,873.39 / $25,186.52
| Facility | | $10,795.38 | $18,873.39 | $25,186.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,019.79 / $16,352.30 / $22,852.00
| Facility | | $9,019.79 | $16,352.30 | $22,852.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,236.65 / $13,522.70 / $21,451.01
| Facility | | $8,236.65 | $13,522.70 | $21,451.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,167.08 / $11,310.09
| Facility | | $2,621.40 | $8,167.08 | $11,310.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,607.52 / $22,868.57
| Facility | | $5,404.00 | $12,607.52 | $22,868.57 |