- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,527.00 / $14,730.60 / $21,055.80
| Facility | | $10,527.00 | $14,730.60 | $21,055.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,803.03 / $13,883.31 / $20,196.00
| Facility | | $8,803.03 | $13,883.31 | $20,196.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,624.81 / $13,287.63 / $24,050.00
| Facility | | $9,624.81 | $13,287.63 | $24,050.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.31 / $140.91 / $224.59
| Facility | | $102.31 | $140.91 | $224.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,058.91 / $14,652.46 / $23,258.76
| Facility | | $10,058.91 | $14,652.46 | $23,258.76 |