- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,552.04 / $12,653.00 / $22,138.00
| Facility | | $9,552.04 | $12,653.00 | $22,138.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,008.82 / $8,893.51 / $13,237.93
| Facility | | $6,008.82 | $8,893.51 | $13,237.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,096.27 / $21,834.63
| Facility | | $5,843.91 | $11,096.27 | $21,834.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,162.34 / $12,963.67 / $19,765.34
| Facility | | $9,162.34 | $12,963.67 | $19,765.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,949.30 / $19,916.29
| Facility | | $3,496.00 | $12,949.30 | $19,916.29 |