- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,835.39 / $15,781.70 / $21,551.30
| Facility | | $8,835.39 | $15,781.70 | $21,551.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $17,494.61 / $25,294.51
| Facility | | $8,639.91 | $17,494.61 | $25,294.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,448.31 / $15,058.68 / $21,714.42
| Facility | | $8,448.31 | $15,058.68 | $21,714.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,906.21 / $15,906.21 / $19,314.68
| Facility | | $15,906.21 | $15,906.21 | $19,314.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,974.35 / $17,087.91 / $25,546.86
| Facility | | $9,974.35 | $17,087.91 | $25,546.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,705.08 / $15,781.70 / $21,452.00
| Facility | | $8,705.08 | $15,781.70 | $21,452.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,949.25 / $14,122.34 / $20,367.50
| Facility | | $7,949.25 | $14,122.34 | $20,367.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,768.28 / $10,738.81
| Facility | | $2,621.40 | $7,768.28 | $10,738.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,167.61 / $22,070.62
| Facility | | $5,404.00 | $12,167.61 | $22,070.62 |