- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,997.92 / $12,224.40 / $18,486.00
| Facility | | $8,997.92 | $12,224.40 | $18,486.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,326.10 / $11,372.78 / $17,072.53
| Facility | | $7,326.10 | $11,372.78 | $17,072.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,849.52 / $10,836.74 / $19,614.00
| Facility | | $7,849.52 | $10,836.74 | $19,614.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.44 / $115.46 / $184.00
| Facility | | $83.44 | $115.46 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,203.56 / $11,949.83 / $18,968.70
| Facility | | $8,203.56 | $11,949.83 | $18,968.70 |