- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,869.29 / $17,892.30 / $24,433.60
| Facility | | $9,869.29 | $17,892.30 | $24,433.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,988.00 / $19,373.00 / $29,127.00
| Facility | | $8,988.00 | $19,373.00 | $29,127.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,578.19 / $16,661.00 / $24,618.53
| Facility | | $9,578.19 | $16,661.00 | $24,618.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,033.52 / $18,033.52 / $21,897.85
| Facility | | $18,033.52 | $18,033.52 | $21,897.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,384.00 / $17,670.25 / $26,629.02
| Facility | | $7,384.00 | $17,670.25 | $26,629.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,851.79 / $17,892.30 / $24,433.60
| Facility | | $9,851.79 | $17,892.30 | $24,433.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,012.37 / $15,628.00 / $23,069.95
| Facility | | $9,012.37 | $15,628.00 | $23,069.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,699.84 / $12,052.54
| Facility | | $2,621.40 | $8,699.84 | $12,052.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $13,794.91 / $25,022.36
| Facility | | $5,404.00 | $13,794.91 | $25,022.36 |