- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,658.80 / $16,026.10
| Facility | | $6,303.00 | $7,658.80 | $16,026.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,115.51 / $13,912.30 / $18,667.31
| Facility | | $10,115.51 | $13,912.30 | $18,667.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,287.89 / $11,381.48 / $15,954.96
| Facility | | $8,287.89 | $11,381.48 | $15,954.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,215.36 / $12,640.41 / $15,935.42
| Facility | | $7,215.36 | $12,640.41 | $15,935.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,215.36 / $12,745.63 / $16,713.33
| Facility | | $7,215.36 | $12,745.63 | $16,713.33 |