- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,727.50 / $18,528.90 / $22,373.30
| Facility | | $9,727.50 | $18,528.90 | $22,373.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $16,731.30 / $28,693.01
| Facility | | $6,916.00 | $16,731.30 | $28,693.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,997.80 / $15,932.75 / $19,594.54
| Facility | | $12,997.80 | $15,932.75 | $19,594.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,548.18 / $12,821.40 / $17,249.41
| Facility | | $8,548.18 | $12,821.40 | $17,249.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,162.11 / $16,572.18 / $25,454.11
| Facility | | $9,162.11 | $16,572.18 | $25,454.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,881.00 / $15,081.02 / $19,075.54
| Facility | | $10,881.00 | $15,081.02 | $19,075.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,255.83 / $21,976.37
| Facility | | $3,775.00 | $15,255.83 | $21,976.37 |