- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,484.29 / $14,243.80 / $20,938.00
| Facility | | $10,484.29 | $14,243.80 | $20,938.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,440.87 / $13,250.85 / $19,422.00
| Facility | | $8,440.87 | $13,250.85 | $19,422.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,146.17 / $12,626.84 / $22,854.00
| Facility | | $9,146.17 | $12,626.84 | $22,854.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.22 / $133.91 / $213.42
| Facility | | $97.22 | $133.91 | $213.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,074.04 / $13,942.08 / $22,945.42
| Facility | | $10,074.04 | $13,942.08 | $22,945.42 |