- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,002.70 / $14,948.00 / $20,998.00
| Facility | | $11,002.70 | $14,948.00 | $20,998.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,781.06 / $13,848.42 / $20,007.71
| Facility | | $8,781.06 | $13,848.42 | $20,007.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,598.40 / $13,251.16 / $23,984.00
| Facility | | $9,598.40 | $13,251.16 | $23,984.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.03 / $140.53 / $223.97
| Facility | | $102.03 | $140.53 | $223.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,572.15 / $14,631.44 / $24,079.94
| Facility | | $10,572.15 | $14,631.44 | $24,079.94 |