- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,910.76 / $11,897.20 / $17,991.00
| Facility | | $8,910.76 | $11,897.20 | $17,991.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,165.49 / $13,718.06 / $20,738.71
| Facility | | $12,165.49 | $13,718.06 | $20,738.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,170.68 / $11,256.85 / $16,898.50
| Facility | | $7,170.68 | $11,256.85 | $16,898.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,773.48 / $10,731.76 / $19,424.00
| Facility | | $7,773.48 | $10,731.76 | $19,424.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.63 / $114.34 / $184.00
| Facility | | $82.63 | $114.34 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,926.29 / $12,306.08 / $18,142.99
| Facility | | $8,926.29 | $12,306.08 | $18,142.99 |