- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,828.30 / $14,711.20 / $22,114.00
| Facility | | $10,828.30 | $14,711.20 | $22,114.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,714.12 / $13,647.68 / $19,826.36
| Facility | | $8,714.12 | $13,647.68 | $19,826.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,098.16 / $12,580.93 / $23,426.97
| Facility | | $9,098.16 | $12,580.93 | $23,426.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.41 / $138.31 / $220.43
| Facility | | $100.41 | $138.31 | $220.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,404.64 / $14,399.62 / $23,698.42
| Facility | | $10,404.64 | $14,399.62 | $23,698.42 |