- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,281.35 / $11,621.00 / $18,447.00
| Facility | | $8,281.35 | $11,621.00 | $18,447.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,705.20 / $13,619.44 / $13,641.23
| Facility | | $9,705.20 | $13,619.44 | $13,641.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,592.71 / $10,468.52 / $15,596.61
| Facility | | $6,592.71 | $10,468.52 | $15,596.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,224.41 / $10,133.49 / $18,052.00
| Facility | | $7,224.41 | $10,133.49 | $18,052.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.79 / $111.55 / $179.12
| Facility | | $76.79 | $111.55 | $179.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,957.32 / $11,012.62 / $18,124.21
| Facility | | $7,957.32 | $11,012.62 | $18,124.21 |