- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,693.45 / $16,098.60
| Facility | | $6,303.00 | $7,693.45 | $16,098.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,161.27 / $13,975.24 / $18,751.75
| Facility | | $10,161.27 | $13,975.24 | $18,751.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,325.39 / $11,432.97 / $16,027.14
| Facility | | $8,325.39 | $11,432.97 | $16,027.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,248.00 / $12,697.59 / $16,007.51
| Facility | | $7,248.00 | $12,697.59 | $16,007.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,399.00 / $11,325.47 / $16,327.63
| Facility | | $7,399.00 | $11,325.47 | $16,327.63 |