- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,315.37 / $12,655.70 / $19,622.00
| Facility | | $9,315.37 | $12,655.70 | $19,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,580.02 / $11,766.94 / $17,531.08
| Facility | | $7,580.02 | $11,766.94 | $17,531.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,126.46 / $11,398.77 / $20,306.00
| Facility | | $8,126.46 | $11,398.77 | $20,306.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.38 / $119.54 / $189.63
| Facility | | $86.38 | $119.54 | $189.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,950.87 / $12,387.68 / $20,387.22
| Facility | | $8,950.87 | $12,387.68 | $20,387.22 |