- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,646.42 / $16,713.59 / $22,823.90
| Facility | | $9,646.42 | $16,713.59 | $22,823.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $16,939.13 / $25,415.15
| Facility | | $8,639.91 | $16,939.13 | $25,415.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,622.00 / $15,671.86 / $23,864.00
| Facility | | $8,622.00 | $15,671.86 | $23,864.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,845.46 / $16,845.46 / $20,455.20
| Facility | | $16,845.46 | $16,845.46 | $20,455.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,170.82 / $16,092.21 / $21,213.04
| Facility | | $10,170.82 | $16,092.21 | $21,213.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,219.10 / $16,356.80 / $22,586.70
| Facility | | $9,219.10 | $16,356.80 | $22,586.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,329.28 / $13,801.05 / $21,550.08
| Facility | | $8,329.28 | $13,801.05 | $21,550.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,183.13 / $11,332.32
| Facility | | $2,621.40 | $8,183.13 | $11,332.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,886.09 / $23,373.87
| Facility | | $5,404.00 | $12,886.09 | $23,373.87 |