- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,070.00 / $17,136.20 / $19,392.30
| Facility | | $11,070.00 | $17,136.20 | $19,392.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,190.58 / $16,925.43 / $22,859.07
| Facility | | $11,190.58 | $16,925.43 | $22,859.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,222.35 / $15,033.33 / $21,496.11
| Facility | | $10,222.35 | $15,033.33 | $21,496.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,347.00 / $17,374.00 / $20,738.00
| Facility | | $11,347.00 | $17,374.00 | $20,738.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $17,374.52 / $26,295.22
| Facility | | $5,274.00 | $17,374.52 | $26,295.22 |