- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,282.27 / $11,252.20 / $15,883.00
| Facility | | $8,282.27 | $11,252.20 | $15,883.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,743.60 / $10,468.52 / $15,715.08
| Facility | | $6,743.60 | $10,468.52 | $15,715.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,225.21 / $9,983.00 / $18,054.00
| Facility | | $7,225.21 | $9,983.00 | $18,054.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.09 / $105.31 / $177.51
| Facility | | $76.09 | $105.31 | $177.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,296.71 / $11,438.11 / $16,863.34
| Facility | | $8,296.71 | $11,438.11 | $16,863.34 |