- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,301.79 / $11,948.10 / $31,808.00
| Facility | | $9,301.79 | $11,948.10 | $31,808.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,467.91 / $11,266.56 / $17,928.00
| Facility | | $6,467.91 | $11,266.56 | $17,928.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,170.60 / $10,977.05 / $18,197.15
| Facility | | $7,170.60 | $10,977.05 | $18,197.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,288.26 / $12,730.88 / $18,305.45
| Facility | | $10,288.26 | $12,730.88 | $18,305.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,395.63 / $12,781.02 / $32,064.10
| Facility | | $6,395.63 | $12,781.02 | $32,064.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,174.12 / $12,508.82 / $19,443.72
| Facility | | $8,174.12 | $12,508.82 | $19,443.72 |