- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,335.34 / $15,111.40 / $20,635.90
| Facility | | $8,335.34 | $15,111.40 | $20,635.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $16,037.34 / $24,306.19
| Facility | | $8,639.91 | $16,037.34 | $24,306.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,089.47 / $14,419.08 / $20,563.83
| Facility | | $8,089.47 | $14,419.08 | $20,563.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,230.62 / $15,230.62 / $18,494.32
| Facility | | $15,230.62 | $15,230.62 | $18,494.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,271.56 / $14,991.02 / $18,370.96
| Facility | | $4,271.56 | $14,991.02 | $18,370.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,320.54 / $15,111.40 / $20,635.90
| Facility | | $8,320.54 | $15,111.40 | $20,635.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,611.61 / $13,522.51 / $19,270.73
| Facility | | $7,611.61 | $13,522.51 | $19,270.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,124.39 / $9,812.96
| Facility | | $2,621.40 | $7,124.39 | $9,812.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,176.08 / $11,650.80 / $21,133.20
| Facility | | $5,176.08 | $11,650.80 | $21,133.20 |