- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,862.00 / $19,677.00 / $26,405.00
| Facility | | $11,862.00 | $19,677.00 | $26,405.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,989.72 / $14,188.23 / $16,351.25
| Facility | | $11,989.72 | $14,188.23 | $16,351.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,537.26 / $16,703.84 / $26,726.81
| Facility | | $9,537.26 | $16,703.84 | $26,726.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,740.28 / $15,843.00 / $36,334.33
| Facility | | $9,740.28 | $15,843.00 | $36,334.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,564.33 / $15,606.41 / $22,108.38
| Facility | | $11,564.33 | $15,606.41 | $22,108.38 |