- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $18,620.87 / $31,622.78
| Facility | | $12,589.25 | $18,620.87 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $10,000.00 / $14,125.38
| Facility | | $8,317.64 | $10,000.00 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $14,454.40 / $24,547.09
| Facility | | $9,772.37 | $14,454.40 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $12,882.50 / $16,218.10
| Facility | | $6,309.57 | $12,882.50 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,488.17 / $21,877.62
| Facility | | $10,471.29 | $15,488.17 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $15,135.61 / $20,892.96
| Facility | | $11,220.18 | $15,135.61 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $12,022.64 / $19,952.62
| Facility | | $5,754.40 | $12,022.64 | $19,952.62 |