- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,074.99 / $12,329.10 / $18,720.00
| Facility | | $9,074.99 | $12,329.10 | $18,720.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,385.85 / $11,465.52 / $17,211.75
| Facility | | $7,385.85 | $11,465.52 | $17,211.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,916.76 / $10,929.56 / $19,782.00
| Facility | | $7,916.76 | $10,929.56 | $19,782.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.15 / $116.45 / $184.73
| Facility | | $84.15 | $116.45 | $184.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,719.91 / $12,068.01 / $19,861.13
| Facility | | $8,719.91 | $12,068.01 | $19,861.13 |