- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,438.14 / $15,297.80 / $21,874.00
| Facility | | $8,438.14 | $15,297.80 | $21,874.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $17,692.00 / $25,484.57
| Facility | | $8,639.91 | $17,692.00 | $25,484.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,189.25 / $14,596.92 / $21,988.95
| Facility | | $8,189.25 | $14,596.92 | $21,988.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,418.46 / $15,418.46 / $18,722.41
| Facility | | $15,418.46 | $15,418.46 | $18,722.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,075.22 / $15,696.74 / $22,449.57
| Facility | | $11,075.22 | $15,696.74 | $22,449.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,423.17 / $15,297.80 / $20,890.40
| Facility | | $8,423.17 | $15,297.80 | $20,890.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,705.49 / $13,689.29 / $19,842.59
| Facility | | $7,705.49 | $13,689.29 | $19,842.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,575.91 / $10,462.06
| Facility | | $2,621.40 | $7,575.91 | $10,462.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,239.92 / $11,794.50 / $21,393.84
| Facility | | $5,239.92 | $11,794.50 | $21,393.84 |