- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,200.29 / $18,492.40 / $25,603.00
| Facility | | $10,200.29 | $18,492.40 | $25,603.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,564.00 / $21,318.79 / $29,127.00
| Facility | | $9,564.00 | $21,318.79 | $29,127.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,899.39 / $16,661.00 / $25,164.71
| Facility | | $9,899.39 | $16,661.00 | $25,164.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,638.27 / $18,638.27 / $22,632.18
| Facility | | $18,638.27 | $18,638.27 | $22,632.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,787.97 / $20,906.28 / $29,764.61
| Facility | | $13,787.97 | $20,906.28 | $29,764.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,182.20 / $18,492.40 / $25,252.90
| Facility | | $10,182.20 | $18,492.40 | $25,252.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,314.61 / $15,292.47 / $23,771.92
| Facility | | $9,314.61 | $15,292.47 | $23,771.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $9,022.78 / $12,532.69
| Facility | | $2,621.40 | $9,022.78 | $12,532.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $14,257.52 / $25,861.47
| Facility | | $5,404.00 | $14,257.52 | $25,861.47 |