- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,096.02 / $11,822.60 / $15,539.00
| Facility | | $8,096.02 | $11,822.60 | $15,539.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,894.08 / $16,051.81 / $27,149.47
| Facility | | $5,894.08 | $16,051.81 | $27,149.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,224.45 / $11,875.14 / $19,876.30
| Facility | | $8,224.45 | $11,875.14 | $19,876.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,183.69 / $13,252.81 / $19,350.18
| Facility | | $10,183.69 | $13,252.81 | $19,350.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,183.69 / $12,320.25 / $19,350.18
| Facility | | $10,183.69 | $12,320.25 | $19,350.18 |