- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,237.84 / $16,139.80 / $22,493.50
| Facility | | $9,237.84 | $16,139.80 | $22,493.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $19,027.93 / $26,255.69
| Facility | | $8,639.91 | $19,027.93 | $26,255.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,568.20 / $15,272.40 / $22,022.61
| Facility | | $8,568.20 | $15,272.40 | $22,022.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,131.96 / $16,131.96 / $19,588.81
| Facility | | $16,131.96 | $16,131.96 | $19,588.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,388.98 / $16,040.23 / $26,347.46
| Facility | | $8,388.98 | $16,040.23 | $26,347.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,828.62 / $16,005.70 / $22,458.00
| Facility | | $8,828.62 | $16,005.70 | $22,458.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,062.07 / $14,322.77 / $21,486.84
| Facility | | $8,062.07 | $14,322.77 | $21,486.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,180.72 / $11,328.99
| Facility | | $2,621.40 | $8,180.72 | $11,328.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,404.00 / $12,340.30 / $22,383.86
| Facility | | $5,404.00 | $12,340.30 | $22,383.86 |