- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,136.90 / $16,815.40 / $22,565.00
| Facility | | $10,136.90 | $16,815.40 | $22,565.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,802.10 / $12,397.88 / $19,655.71
| Facility | | $8,802.10 | $12,397.88 | $19,655.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,054.90 / $14,313.07 / $22,264.86
| Facility | | $8,054.90 | $14,313.07 | $22,264.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,323.78 / $13,539.00 / $31,050.34
| Facility | | $8,323.78 | $13,539.00 | $31,050.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,882.57 / $13,336.82 / $19,126.09
| Facility | | $9,882.57 | $13,336.82 | $19,126.09 |