- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,537.00 / $17,022.20 / $23,554.30
| Facility | | $10,537.00 | $17,022.20 | $23,554.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,239.98 / $12,239.98 / $22,202.64
| Facility | | $12,239.98 | $12,239.98 | $22,202.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,647.82 / $15,459.27 / $23,421.12
| Facility | | $9,647.82 | $15,459.27 | $23,421.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,167.26 / $15,739.31 / $24,380.24
| Facility | | $10,167.26 | $15,739.31 | $24,380.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,253.50 / $15,739.31 / $23,740.62
| Facility | | $9,253.50 | $15,739.31 | $23,740.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,953.21 / $18,326.66 / $26,181.28
| Facility | | $7,953.21 | $18,326.66 | $26,181.28 |