- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,755.53 / $14,523.90 / $19,490.00
| Facility | | $8,755.53 | $14,523.90 | $19,490.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,689.37 / $10,723.22 / $12,367.96
| Facility | | $8,689.37 | $10,723.22 | $12,367.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,941.57 / $12,183.60 / $19,383.43
| Facility | | $6,941.57 | $12,183.60 | $19,383.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,189.47 / $11,694.00 / $26,819.02
| Facility | | $7,189.47 | $11,694.00 | $26,819.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,535.84 / $11,519.37 / $16,318.59
| Facility | | $8,535.84 | $11,519.37 | $16,318.59 |