- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,843.95 / $16,033.50 / $22,041.00
| Facility | | $8,843.95 | $16,033.50 | $22,041.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,173.42 / $13,173.42 / $15,830.74
| Facility | | $13,173.42 | $13,173.42 | $15,830.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $18,378.00 / $26,967.05
| Facility | | $8,639.91 | $18,378.00 | $26,967.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,493.84 / $15,034.13 / $21,818.61
| Facility | | $8,493.84 | $15,034.13 | $21,818.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,159.97 / $16,159.97 / $19,622.83
| Facility | | $16,159.97 | $16,159.97 | $19,622.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,283.82 / $16,005.02 / $25,234.76
| Facility | | $11,283.82 | $16,005.02 | $25,234.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,828.26 / $16,033.50 / $21,895.10
| Facility | | $8,828.26 | $16,033.50 | $21,895.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,990.34 / $13,259.06 / $20,782.77
| Facility | | $7,990.34 | $13,259.06 | $20,782.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,917.97 / $10,957.77
| Facility | | $2,621.40 | $7,917.97 | $10,957.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,361.72 / $22,422.72
| Facility | | $5,404.00 | $12,361.72 | $22,422.72 |