- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,031.40 / $16,640.30 / $22,330.00
| Facility | | $10,031.40 | $16,640.30 | $22,330.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,085.09 / $14,085.09 / $19,589.53
| Facility | | $14,085.09 | $14,085.09 | $19,589.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,794.29 / $13,495.25 / $21,580.31
| Facility | | $7,794.29 | $13,495.25 | $21,580.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,237.09 / $13,398.00 / $30,726.97
| Facility | | $8,237.09 | $13,398.00 | $30,726.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,721.59 / $13,197.92 / $18,696.46
| Facility | | $9,721.59 | $13,197.92 | $18,696.46 |