- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,328.75 / $15,864.60 / $19,156.09
| Facility | | $8,328.75 | $15,864.60 | $19,156.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $14,325.45 / $24,385.75
| Facility | | $6,916.00 | $14,325.45 | $24,385.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,047.60 / $13,680.74 / $16,399.38
| Facility | | $10,047.60 | $13,680.74 | $16,399.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,876.58 / $11,192.80 / $14,660.01
| Facility | | $6,876.58 | $11,192.80 | $14,660.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,427.29 / $14,147.46 / $21,633.06
| Facility | | $8,427.29 | $14,147.46 | $21,633.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,247.59 / $12,741.19 / $16,450.24
| Facility | | $9,247.59 | $12,741.19 | $16,450.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,062.15 / $18,816.31
| Facility | | $3,775.00 | $13,062.15 | $18,816.31 |