- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,489.63 / $21,379.62
| Facility | | $8,317.64 | $13,489.63 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $17,378.01 / $23,988.33
| Facility | | $7,585.78 | $17,378.01 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $10,232.93 / $17,378.01
| Facility | | $5,623.41 | $10,232.93 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $13,803.84 / $28,840.32
| Facility | | $9,332.54 | $13,803.84 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,915.35 / $35,481.34 / $35,481.34
| Facility | | $26,915.35 | $35,481.34 | $35,481.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $11,481.54 / $15,488.17
| Facility | | $7,762.47 | $11,481.54 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $31,622.78
| Facility | | $8,912.51 | $12,302.69 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $9,549.93 / $16,595.87
| Facility | | $3,311.31 | $9,549.93 | $16,595.87 |