- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,302.69 / $14,454.40 / $28,840.32
| Facility | | $12,302.69 | $14,454.40 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $12,589.25 / $19,054.61
| Facility | | $7,762.47 | $12,589.25 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $11,481.54 / $16,982.44
| Facility | | $9,772.37 | $11,481.54 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $9,120.11 / $11,748.98
| Facility | | $7,585.78 | $9,120.11 | $11,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $12,302.69 / $18,197.01
| Facility | | $9,549.93 | $12,302.69 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $10,000.00 / $12,589.25
| Facility | | $7,244.36 | $10,000.00 | $12,589.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $11,748.98 / $14,125.38
| Facility | | $8,912.51 | $11,748.98 | $14,125.38 |