- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,071.15 / $11,026.20 / $16,105.00
| Facility | | $7,071.15 | $11,026.20 | $16,105.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,116.02 / $13,120.83 / $16,810.46
| Facility | | $9,116.02 | $13,120.83 | $16,810.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,161.81 / $11,117.73 / $16,689.66
| Facility | | $7,161.81 | $11,117.73 | $16,689.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,674.24 / $10,546.80 / $19,176.00
| Facility | | $7,674.24 | $10,546.80 | $19,176.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.68 / $124.09 / $3,100.00
| Facility | | $85.68 | $124.09 | $3,100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,852.52 / $11,272.61 / $16,896.93
| Facility | | $5,852.52 | $11,272.61 | $16,896.93 |