- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,418.99 / $12,139.80 / $24,671.30
| Facility | | $9,418.99 | $12,139.80 | $24,671.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,296.65 / $13,255.11 / $15,095.25
| Facility | | $10,296.65 | $13,255.11 | $15,095.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,418.86 / $11,806.74 / $13,498.16
| Facility | | $9,418.86 | $11,806.74 | $13,498.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,518.37 / $13,308.30 / $17,308.02
| Facility | | $7,518.37 | $13,308.30 | $17,308.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,841.15 / $15,243.38 / $18,653.78
| Facility | | $11,841.15 | $15,243.38 | $18,653.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $10,672.93 / $16,436.57
| Facility | | $1,286.00 | $10,672.93 | $16,436.57 |