- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,457.59 / $12,848.90 / $19,282.00
| Facility | | $9,457.59 | $12,848.90 | $19,282.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,256.45 / $10,779.84 / $13,030.57
| Facility | | $6,256.45 | $10,779.84 | $13,030.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,550.69 / $11,952.43 / $17,413.91
| Facility | | $7,550.69 | $11,952.43 | $17,413.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,250.52 / $11,572.79 / $20,616.00
| Facility | | $8,250.52 | $11,572.79 | $20,616.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.70 / $121.36 / $192.52
| Facility | | $87.70 | $121.36 | $192.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,087.53 / $12,576.79 / $20,698.46
| Facility | | $9,087.53 | $12,576.79 | $20,698.46 |