- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,077.47 / $11,609.70 / $18,693.00
| Facility | | $5,077.47 | $11,609.70 | $18,693.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,790.49 / $9,512.46 / $10,446.20
| Facility | | $8,790.49 | $9,512.46 | $10,446.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,384.98 / $16,145.89
| Facility | | $1,474.01 | $6,384.98 | $16,145.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,403.90 / $12,138.65 / $17,195.84
| Facility | | $8,403.90 | $12,138.65 | $17,195.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,345.93 / $10,181.02 / $21,993.00
| Facility | | $7,345.93 | $10,181.02 | $21,993.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,897.07 / $10,181.02 / $21,657.47
| Facility | | $6,897.07 | $10,181.02 | $21,657.47 |