- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,347.42 / $11,340.70 / $17,634.00
| Facility | | $8,347.42 | $11,340.70 | $17,634.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,795.88 / $10,549.67 / $15,836.91
| Facility | | $6,795.88 | $10,549.67 | $15,836.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,282.04 / $10,053.29 / $18,196.00
| Facility | | $7,282.04 | $10,053.29 | $18,196.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.40 / $107.11 / $180.55
| Facility | | $77.40 | $107.11 | $180.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,020.80 / $11,100.47 / $18,268.78
| Facility | | $8,020.80 | $11,100.47 | $18,268.78 |