- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,392.37 / $11,401.70 / $16,652.00
| Facility | | $8,392.37 | $11,401.70 | $16,652.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,643.55 / $10,607.64 / $15,803.88
| Facility | | $6,643.55 | $10,607.64 | $15,803.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,321.26 / $10,107.44 / $18,294.00
| Facility | | $7,321.26 | $10,107.44 | $18,294.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.81 / $107.69 / $181.52
| Facility | | $77.81 | $107.69 | $181.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,064.00 / $11,160.25 / $18,367.18
| Facility | | $8,064.00 | $11,160.25 | $18,367.18 |