- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,828.54 / $17,029.09 / $23,254.80
| Facility | | $9,828.54 | $17,029.09 | $23,254.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $18,016.00 / $27,034.92
| Facility | | $8,639.91 | $18,016.00 | $27,034.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,116.08 / $15,768.78 / $23,173.52
| Facility | | $9,116.08 | $15,768.78 | $23,173.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,163.48 / $17,163.48 / $20,841.37
| Facility | | $17,163.48 | $17,163.48 | $20,841.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,805.18 / $11,888.48 / $20,531.27
| Facility | | $8,805.18 | $11,888.48 | $20,531.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,393.15 / $16,686.00 / $23,013.10
| Facility | | $9,393.15 | $16,686.00 | $23,013.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,577.58 / $14,082.43 / $21,716.32
| Facility | | $8,577.58 | $14,082.43 | $21,716.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,703.88 / $10,638.78
| Facility | | $2,621.40 | $7,703.88 | $10,638.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $13,025.21 / $23,815.14
| Facility | | $5,130.00 | $13,025.21 | $23,815.14 |