- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,081.93 / $14,652.00 / $20,008.59
| Facility | | $8,081.93 | $14,652.00 | $20,008.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,243.41 / $9,243.41 / $9,243.41
| Facility | | $9,243.41 | $9,243.41 | $9,243.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.00 / $15,331.45 / $23,078.00
| Facility | | $8,534.00 | $15,331.45 | $23,078.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,843.54 / $13,980.72 / $19,938.66
| Facility | | $7,843.54 | $13,980.72 | $19,938.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,767.58 / $14,767.58 / $17,932.07
| Facility | | $14,767.58 | $14,767.58 | $17,932.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,248.12 / $12,086.34 / $18,831.03
| Facility | | $7,248.12 | $12,086.34 | $18,831.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,067.59 / $14,368.00 / $19,800.59
| Facility | | $8,067.59 | $14,368.00 | $19,800.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,380.21 / $12,116.62 / $19,334.58
| Facility | | $7,380.21 | $12,116.62 | $19,334.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,382.76 / $10,194.20
| Facility | | $2,621.40 | $7,382.76 | $10,194.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $11,296.60 / $20,490.72
| Facility | | $5,130.00 | $11,296.60 | $20,490.72 |