- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,136.00 / $15,268.20 / $20,982.00
| Facility | | $10,136.00 | $15,268.20 | $20,982.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,112.70 / $19,112.70 / $21,544.91
| Facility | | $19,112.70 | $19,112.70 | $21,544.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,041.17 / $14,487.19 / $21,948.41
| Facility | | $9,041.17 | $14,487.19 | $21,948.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,033.26 / $12,686.00 / $21,147.97
| Facility | | $7,033.26 | $12,686.00 | $21,147.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,033.26 / $12,528.56 / $19,279.07
| Facility | | $7,033.26 | $12,528.56 | $19,279.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,264.00 / $16,325.25 / $23,322.10
| Facility | | $7,264.00 | $16,325.25 | $23,322.10 |