- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,605.31 / $13,049.60 / $19,947.00
| Facility | | $9,605.31 | $13,049.60 | $19,947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,818.99 / $12,137.92 / $18,083.78
| Facility | | $7,818.99 | $12,137.92 | $18,083.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,379.39 / $11,753.55 / $20,938.00
| Facility | | $8,379.39 | $11,753.55 | $20,938.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.07 / $122.69 / $195.53
| Facility | | $89.07 | $122.69 | $195.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,229.46 / $12,773.23 / $21,021.75
| Facility | | $9,229.46 | $12,773.23 | $21,021.75 |