- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,144.65 / $11,065.20 / $16,588.00
| Facility | | $8,144.65 | $11,065.20 | $16,588.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,659.54 / $10,807.71 / $14,272.90
| Facility | | $8,659.54 | $10,807.71 | $14,272.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,631.58 / $10,294.62 / $15,454.04
| Facility | | $6,631.58 | $10,294.62 | $15,454.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,105.15 / $9,809.09 / $17,754.00
| Facility | | $7,105.15 | $9,809.09 | $17,754.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.52 / $104.51 / $176.16
| Facility | | $75.52 | $104.51 | $176.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,825.96 / $10,830.83 / $17,825.02
| Facility | | $7,825.96 | $10,830.83 | $17,825.02 |