- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,989.89 / $11,908.40 / $20,835.09
| Facility | | $8,989.89 | $11,908.40 | $20,835.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,461.20 / $9,736.60 / $14,815.00
| Facility | | $9,461.20 | $9,736.60 | $14,815.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $10,482.95 / $20,320.45
| Facility | | $5,843.91 | $10,482.95 | $20,320.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,623.11 / $12,649.00 / $18,602.09
| Facility | | $8,623.11 | $12,649.00 | $18,602.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,272.12 / $18,744.15
| Facility | | $3,496.00 | $12,272.12 | $18,744.15 |