- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,130.89 / $11,046.50 / $16,267.00
| Facility | | $8,130.89 | $11,046.50 | $16,267.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,542.97 / $10,271.44 / $15,302.99
| Facility | | $6,542.97 | $10,271.44 | $15,302.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,093.14 / $9,792.51 / $17,724.00
| Facility | | $7,093.14 | $9,792.51 | $17,724.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.40 / $104.34 / $175.87
| Facility | | $75.40 | $104.34 | $175.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,812.74 / $10,812.53 / $17,794.90
| Facility | | $7,812.74 | $10,812.53 | $17,794.90 |