- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,473.02 / $12,205.70 / $17,145.80
| Facility | | $8,473.02 | $12,205.70 | $17,145.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,229.76 / $11,349.59 / $17,037.73
| Facility | | $7,229.76 | $11,349.59 | $17,037.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,794.43 / $10,447.08 / $19,584.00
| Facility | | $7,794.43 | $10,447.08 | $19,584.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.31 / $115.29 / $184.00
| Facility | | $83.31 | $115.29 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,632.62 / $11,947.22 / $19,662.34
| Facility | | $8,632.62 | $11,947.22 | $19,662.34 |