- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,404.29 / $11,417.90 / $17,076.00
| Facility | | $8,404.29 | $11,417.90 | $17,076.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,650.81 / $10,619.23 / $15,821.15
| Facility | | $6,650.81 | $10,619.23 | $15,821.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,331.66 / $10,121.79 / $18,320.00
| Facility | | $7,331.66 | $10,121.79 | $18,320.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.93 / $107.84 / $181.78
| Facility | | $77.93 | $107.84 | $181.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,075.46 / $11,176.12 / $18,393.28
| Facility | | $8,075.46 | $11,176.12 | $18,393.28 |