- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,908.12 / $17,697.80 / $24,167.90
| Facility | | $9,908.12 | $17,697.80 | $24,167.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $16,991.64 / $26,616.00
| Facility | | $8,639.91 | $16,991.64 | $26,616.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,914.39 / $16,387.97 / $24,083.46
| Facility | | $8,914.39 | $16,387.97 | $24,083.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,837.43 / $17,837.43 / $21,659.74
| Facility | | $17,837.43 | $17,837.43 | $21,659.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,240.71 / $18,166.88 / $21,678.66
| Facility | | $9,240.71 | $18,166.88 | $21,678.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,761.98 / $16,998.50 / $23,916.80
| Facility | | $9,761.98 | $16,998.50 | $23,916.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,268.39 / $14,635.40 / $22,789.59
| Facility | | $8,268.39 | $14,635.40 | $22,789.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,674.23 / $12,014.75
| Facility | | $2,621.40 | $8,674.23 | $12,014.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $13,644.91 / $24,750.28
| Facility | | $5,404.00 | $13,644.91 | $24,750.28 |