- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,912.30 / $12,220.10 / $25,062.00
| Facility | | $7,912.30 | $12,220.10 | $25,062.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,619.76 / $9,916.79 / $16,799.27
| Facility | | $6,619.76 | $9,916.79 | $16,799.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,110.00 / $13,020.75 / $18,644.13
| Facility | | $10,110.00 | $13,020.75 | $18,644.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,541.25 / $13,125.41 / $24,358.00
| Facility | | $6,541.25 | $13,125.41 | $24,358.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.00 / $12,480.71 / $17,317.04
| Facility | | $8,511.00 | $12,480.71 | $17,317.04 |