- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,045.00 / $16,827.30 / $23,924.50
| Facility | | $7,045.00 | $16,827.30 | $23,924.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,752.54 / $11,895.56 / $23,147.88
| Facility | | $7,752.54 | $11,895.56 | $23,147.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,821.56 / $19,095.75 / $28,786.73
| Facility | | $9,821.56 | $19,095.75 | $28,786.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,518.02 / $15,677.51 / $23,110.00
| Facility | | $8,518.02 | $15,677.51 | $23,110.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,657.82 / $17,657.82 / $21,441.64
| Facility | | $17,657.82 | $17,657.82 | $21,441.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,305.84 / $11,479.78 / $21,643.04
| Facility | | $6,305.84 | $11,479.78 | $21,643.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,045.00 / $15,913.30 / $23,924.50
| Facility | | $7,045.00 | $15,913.30 | $23,924.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,730.95 / $14,345.51 / $22,589.33
| Facility | | $8,730.95 | $14,345.51 | $22,589.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,788.79 / $12,184.80
| Facility | | $2,621.40 | $8,788.79 | $12,184.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,800.00 / $12,023.35 / $22,443.59
| Facility | | $3,800.00 | $12,023.35 | $22,443.59 |