- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,477.02 / $17,069.59 / $25,779.40
| Facility | | $9,477.02 | $17,069.59 | $25,779.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,661.99 / $13,661.99 / $13,661.99
| Facility | | $13,661.99 | $13,661.99 | $13,661.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,032.00 / $23,704.11 / $31,896.29
| Facility | | $9,032.00 | $23,704.11 | $31,896.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,967.60 / $15,872.68 / $23,864.00
| Facility | | $8,967.60 | $15,872.68 | $23,864.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,061.32 / $17,061.32 / $20,717.32
| Facility | | $17,061.32 | $17,061.32 | $20,717.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,214.34 / $17,049.07 / $24,102.94
| Facility | | $11,214.34 | $17,049.07 | $24,102.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,337.24 / $16,927.80 / $25,779.40
| Facility | | $9,337.24 | $16,927.80 | $25,779.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,436.01 / $13,998.61 / $21,826.23
| Facility | | $8,436.01 | $13,998.61 | $21,826.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,239.31 / $11,410.13
| Facility | | $2,621.40 | $8,239.31 | $11,410.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $13,051.22 / $23,673.39
| Facility | | $5,404.00 | $13,051.22 | $23,673.39 |