- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,058.00 / $19,963.90 / $26,790.00
| Facility | | $9,058.00 | $19,963.90 | $26,790.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,082.89 / $14,505.42 / $18,126.13
| Facility | | $11,082.89 | $14,505.42 | $18,126.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,131.25 / $16,338.15 / $24,721.56
| Facility | | $8,131.25 | $16,338.15 | $24,721.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,882.29 / $16,074.00 / $36,864.11
| Facility | | $9,882.29 | $16,074.00 | $36,864.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,947.00 / $14,692.71 / $22,243.20
| Facility | | $7,947.00 | $14,692.71 | $22,243.20 |