- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,724.58 / $11,235.90 / $18,654.30
| Facility | | $8,724.58 | $11,235.90 | $18,654.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,964.00 / $9,708.01 / $9,856.56
| Facility | | $8,964.00 | $9,708.01 | $9,856.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,692.79 / $10,245.60 / $17,734.06
| Facility | | $6,692.79 | $10,245.60 | $17,734.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,870.07 / $11,984.42 / $17,232.13
| Facility | | $8,870.07 | $11,984.42 | $17,232.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,020.63 / $12,031.62 / $29,927.53
| Facility | | $6,020.63 | $12,031.62 | $29,927.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,020.63 / $11,487.35 / $16,144.91
| Facility | | $6,020.63 | $11,487.35 | $16,144.91 |