- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,875.71 / $17,110.90 / $23,366.40
| Facility | | $9,875.71 | $17,110.90 | $23,366.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $16,748.82 / $24,512.26
| Facility | | $8,639.91 | $16,748.82 | $24,512.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,064.60 / $16,012.98 / $23,284.76
| Facility | | $9,064.60 | $16,012.98 | $23,284.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,245.87 / $17,245.87 / $20,941.41
| Facility | | $17,245.87 | $17,245.87 | $20,941.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,387.63 / $18,343.18 / $93,616.44
| Facility | | $5,387.63 | $18,343.18 | $93,616.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,438.24 / $16,745.59 / $23,123.60
| Facility | | $9,438.24 | $16,745.59 | $23,123.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,618.75 / $15,311.76 / $21,820.56
| Facility | | $8,618.75 | $15,311.76 | $21,820.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $7,659.61 / $10,577.65
| Facility | | $2,621.40 | $7,659.61 | $10,577.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,786.00 / $13,208.09 / $22,004.77
| Facility | | $3,786.00 | $13,208.09 | $22,004.77 |