- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,957.54 / $12,569.90 / $18,256.00
| Facility | | $8,957.54 | $12,569.90 | $18,256.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,419.18 / $10,419.18 / $10,419.18
| Facility | | $10,419.18 | $10,419.18 | $10,419.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,288.76 / $11,314.81 / $16,985.52
| Facility | | $7,288.76 | $11,314.81 | $16,985.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,814.31 / $10,788.12 / $19,526.00
| Facility | | $7,814.31 | $10,788.12 | $19,526.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.06 / $114.94 / $184.00
| Facility | | $83.06 | $114.94 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,607.06 / $11,911.84 / $19,604.09
| Facility | | $8,607.06 | $11,911.84 | $19,604.09 |