- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,133.78 / $16,314.70 / $22,770.00
| Facility | | $9,133.78 | $16,314.70 | $22,770.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,639.91 / $17,749.00 / $26,538.05
| Facility | | $8,639.91 | $17,749.00 | $26,538.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,642.81 / $15,297.81 / $22,201.28
| Facility | | $8,642.81 | $15,297.81 | $22,201.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,443.40 / $16,443.40 / $19,966.98
| Facility | | $16,443.40 | $16,443.40 | $19,966.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,737.92 / $16,216.50 / $25,279.58
| Facility | | $10,737.92 | $16,216.50 | $25,279.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,999.06 / $16,314.70 / $22,279.10
| Facility | | $8,999.06 | $16,314.70 | $22,279.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,130.48 / $13,491.61 / $21,077.89
| Facility | | $8,130.48 | $13,491.61 | $21,077.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $8,025.02 / $11,113.37
| Facility | | $2,621.40 | $8,025.02 | $11,113.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,786.00 / $12,817.18 / $20,980.85
| Facility | | $3,786.00 | $12,817.18 | $20,980.85 |