- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,643.37 / $14,975.70 / $20,450.59
| Facility | | $8,643.37 | $14,975.70 | $20,450.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.00 / $14,430.37 / $22,176.94
| Facility | | $8,534.00 | $14,430.37 | $22,176.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,933.48 / $14,289.60 / $20,379.16
| Facility | | $7,933.48 | $14,289.60 | $20,379.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,093.85 / $15,093.85 / $18,328.24
| Facility | | $15,093.85 | $15,093.85 | $18,328.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,112.04 / $14,318.31 / $20,222.07
| Facility | | $6,112.04 | $14,318.31 | $20,222.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,260.49 / $14,656.00 / $20,238.09
| Facility | | $8,260.49 | $14,656.00 | $20,238.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,112.73 / $11,952.37 / $11,952.37
| Facility | | $11,112.73 | $11,952.37 | $11,952.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,463.19 / $13,401.08 / $19,471.59
| Facility | | $7,463.19 | $13,401.08 | $19,471.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,434.26 / $10,266.45
| Facility | | $2,621.40 | $7,434.26 | $10,266.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,129.60 / $11,546.18 / $20,943.41
| Facility | | $5,129.60 | $11,546.18 | $20,943.41 |