- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,983.00 / $10,796.60 / $12,447.90
| Facility | | $7,983.00 | $10,796.60 | $12,447.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,293.06 / $16,592.75 / $21,271.22
| Facility | | $12,293.06 | $16,592.75 | $21,271.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,921.64 / $12,609.07 / $21,641.10
| Facility | | $7,921.64 | $12,609.07 | $21,641.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $12,270.35 / $19,054.28
| Facility | | $3,137.00 | $12,270.35 | $19,054.28 |