- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,917.28 / $17,714.09 / $24,190.20
| Facility | | $9,917.28 | $17,714.09 | $24,190.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,217.00 / $20,113.00 / $28,772.62
| Facility | | $9,217.00 | $20,113.00 | $28,772.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,384.19 / $16,403.11 / $24,105.71
| Facility | | $9,384.19 | $16,403.11 | $24,105.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,853.91 / $17,853.91 / $21,679.75
| Facility | | $17,853.91 | $17,853.91 | $21,679.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,202.25 / $18,001.14 / $22,775.94
| Facility | | $11,202.25 | $18,001.14 | $22,775.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,771.00 / $17,714.09 / $24,190.20
| Facility | | $9,771.00 | $17,714.09 | $24,190.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,827.91 / $14,648.92 / $22,958.23
| Facility | | $8,827.91 | $14,648.92 | $22,958.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,734.98 / $12,104.78
| Facility | | $2,621.40 | $8,734.98 | $12,104.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $13,657.52 / $24,773.14
| Facility | | $5,404.00 | $13,657.52 | $24,773.14 |