- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,432.50 / $17,967.00 / $21,694.80
| Facility | | $9,432.50 | $17,967.00 | $21,694.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $16,223.90 / $27,749.30
| Facility | | $6,916.00 | $16,223.90 | $27,749.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,718.98 / $15,408.72 / $19,168.34
| Facility | | $13,718.98 | $15,408.72 | $19,168.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,888.45 / $13,124.25 / $17,109.40
| Facility | | $8,888.45 | $13,124.25 | $17,109.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,560.45 / $16,340.10 / $25,210.44
| Facility | | $9,560.45 | $16,340.10 | $25,210.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,523.12 / $14,697.63 / $19,271.20
| Facility | | $10,523.12 | $14,697.63 | $19,271.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,793.18 / $21,309.90
| Facility | | $3,775.00 | $14,793.18 | $21,309.90 |