- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,603.75 / $18,293.20 / $22,088.60
| Facility | | $9,603.75 | $18,293.20 | $22,088.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $16,518.45 / $28,354.11
| Facility | | $6,916.00 | $16,518.45 | $28,354.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,059.00 / $15,775.03 / $19,415.75
| Facility | | $13,059.00 | $15,775.03 | $19,415.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,465.69 / $13,023.76 / $17,189.80
| Facility | | $8,465.69 | $13,023.76 | $17,189.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,850.03 / $16,514.93 / $25,366.15
| Facility | | $9,850.03 | $16,514.93 | $25,366.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,843.40 / $14,715.81 / $18,391.97
| Facility | | $10,843.40 | $14,715.81 | $18,391.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $15,061.75 / $21,696.79
| Facility | | $3,775.00 | $15,061.75 | $21,696.79 |