- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,480.45 / $11,900.40 / $18,694.00
| Facility | | $8,480.45 | $11,900.40 | $18,694.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,270.02 / $10,270.02 / $13,497.12
| Facility | | $10,270.02 | $10,270.02 | $13,497.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,900.43 / $10,711.97 / $16,080.55
| Facility | | $6,900.43 | $10,711.97 | $16,080.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,398.10 / $10,213.52 / $18,486.00
| Facility | | $7,398.10 | $10,213.52 | $18,486.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.64 / $108.82 / $183.43
| Facility | | $78.64 | $108.82 | $183.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.63 / $11,277.38 / $18,559.93
| Facility | | $8,148.63 | $11,277.38 | $18,559.93 |