- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,651.86 / $11,851.10 / $26,202.00
| Facility | | $8,651.86 | $11,851.10 | $26,202.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,212.00 / $11,055.72 / $41,408.00
| Facility | | $7,212.00 | $11,055.72 | $41,408.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,093.40 / $10,764.94 / $18,001.23
| Facility | | $7,093.40 | $10,764.94 | $18,001.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,204.81 / $12,627.62 / $18,171.00
| Facility | | $10,204.81 | $12,627.62 | $18,171.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,478.29 / $12,753.48 / $22,780.00
| Facility | | $8,478.29 | $12,753.48 | $22,780.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,343.75 / $11,805.47 / $16,794.18
| Facility | | $6,343.75 | $11,805.47 | $16,794.18 |