- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,467.36 / $13,825.20 / $18,171.00
| Facility | | $9,467.36 | $13,825.20 | $18,171.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,444.75 / $17,551.48 / $29,685.96
| Facility | | $6,444.75 | $17,551.48 | $29,685.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,617.54 / $13,886.60 / $24,883.93
| Facility | | $9,617.54 | $13,886.60 | $24,883.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,908.65 / $15,497.63 / $22,627.81
| Facility | | $11,908.65 | $15,497.63 | $22,627.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,908.65 / $14,407.12 / $22,627.81
| Facility | | $11,908.65 | $14,407.12 | $22,627.81 |