- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,521.51 / $11,648.70 / $15,907.30
| Facility | | $6,521.51 | $11,648.70 | $15,907.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,021.96 / $11,662.00 / $17,402.00
| Facility | | $8,021.96 | $11,662.00 | $17,402.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,235.80 / $10,922.63 / $16,027.69
| Facility | | $6,235.80 | $10,922.63 | $16,027.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,740.58 / $11,740.58 / $14,256.41
| Facility | | $11,740.58 | $11,740.58 | $14,256.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,815.59 / $13,509.71 / $580,834.62
| Facility | | $8,815.59 | $13,509.71 | $580,834.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,425.32 / $11,524.00 / $15,907.30
| Facility | | $6,425.32 | $11,524.00 | $15,907.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,867.44 / $9,633.00 / $15,019.50
| Facility | | $5,867.44 | $9,633.00 | $15,019.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $5,700.27 / $7,740.12
| Facility | | $2,621.40 | $5,700.27 | $7,740.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,308.49 / $8,981.06 / $16,290.60
| Facility | | $4,308.49 | $8,981.06 | $16,290.60 |