- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,087.94 / $11,160.10 / $18,678.00
| Facility | | $8,087.94 | $11,160.10 | $18,678.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,995.29 / $17,461.20 / $20,007.80
| Facility | | $8,995.29 | $17,461.20 | $20,007.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $12,850.56 / $19,816.21
| Facility | | $2,423.00 | $12,850.56 | $19,816.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,087.94 / $12,500.36 / $21,055.60
| Facility | | $8,087.94 | $12,500.36 | $21,055.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,600.00 / $10,133.03 / $22,531.97
| Facility | | $2,600.00 | $10,133.03 | $22,531.97 |