- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,196.10 / $12,493.70 / $19,425.00
| Facility | | $9,196.10 | $12,493.70 | $19,425.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,482.93 / $11,616.23 / $17,316.00
| Facility | | $7,482.93 | $11,616.23 | $17,316.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,022.41 / $11,075.42 / $20,046.00
| Facility | | $8,022.41 | $11,075.42 | $20,046.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.27 / $118.00 / $187.20
| Facility | | $85.27 | $118.00 | $187.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,836.28 / $12,229.06 / $20,126.18
| Facility | | $8,836.28 | $12,229.06 | $20,126.18 |