- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,432.74 / $11,456.60 / $17,155.00
| Facility | | $8,432.74 | $11,456.60 | $17,155.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,863.09 / $10,654.01 / $15,993.54
| Facility | | $6,863.09 | $10,654.01 | $15,993.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,356.48 / $10,156.06 / $18,382.00
| Facility | | $7,356.48 | $10,156.06 | $18,382.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.20 / $113.59 / $182.40
| Facility | | $78.20 | $113.59 | $182.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,726.85 / $11,465.77 / $18,455.53
| Facility | | $8,726.85 | $11,465.77 | $18,455.53 |