- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,461.48 / $16,393.09 / $22,386.30
| Facility | | $9,461.48 | $16,393.09 | $22,386.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,544.00 / $14,063.35 / $21,204.73
| Facility | | $8,544.00 | $14,063.35 | $21,204.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,169.59 / $14,860.00 / $22,321.00
| Facility | | $8,169.59 | $14,860.00 | $22,321.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,522.49 / $16,522.49 / $20,063.02
| Facility | | $16,522.49 | $16,522.49 | $20,063.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,228.50 / $16,401.07 / $21,578.39
| Facility | | $10,228.50 | $16,401.07 | $21,578.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,042.35 / $16,393.09 / $22,153.70
| Facility | | $9,042.35 | $16,393.09 | $22,153.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,783.00 / $13,536.45 / $22,321.00
| Facility | | $7,783.00 | $13,536.45 | $22,321.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,633.31 / $11,958.07
| Facility | | $2,621.40 | $8,633.31 | $11,958.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,130.00 / $13,806.18 / $23,474.21
| Facility | | $5,130.00 | $13,806.18 | $23,474.21 |