- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,612.50 / $16,405.09 / $19,808.80
| Facility | | $8,612.50 | $16,405.09 | $19,808.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $14,813.50 / $25,402.90
| Facility | | $6,916.00 | $14,813.50 | $25,402.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,481.20 / $14,146.81 / $17,983.66
| Facility | | $12,481.20 | $14,146.81 | $17,983.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,976.47 / $11,762.30 / $15,271.49
| Facility | | $7,976.47 | $11,762.30 | $15,271.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,765.14 / $14,760.90 / $22,535.39
| Facility | | $8,765.14 | $14,760.90 | $22,535.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,633.32 / $13,351.74 / $17,163.53
| Facility | | $9,633.32 | $13,351.74 | $17,163.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,507.16 / $19,457.36
| Facility | | $3,775.00 | $13,507.16 | $19,457.36 |