- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,556.68 / $12,983.50 / $19,269.00
| Facility | | $9,556.68 | $12,983.50 | $19,269.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,932.53 / $6,932.53 / $6,932.53
| Facility | | $6,932.53 | $6,932.53 | $6,932.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,781.65 / $12,079.95 / $17,997.41
| Facility | | $7,781.65 | $12,079.95 | $17,997.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,336.96 / $11,509.68 / $20,832.00
| Facility | | $8,336.96 | $11,509.68 | $20,832.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $88.62 / $122.07 / $194.54
| Facility | | $88.62 | $122.07 | $194.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,182.75 / $12,708.56 / $20,915.33
| Facility | | $9,182.75 | $12,708.56 | $20,915.33 |