- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $9,589.81 / $16,642.00
| Facility | | $6,303.00 | $9,589.81 | $16,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,665.93 / $17,420.00 / $23,373.87
| Facility | | $12,665.93 | $17,420.00 | $23,373.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,377.51 / $14,251.08 / $19,977.66
| Facility | | $10,377.51 | $14,251.08 | $19,977.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,034.56 / $15,827.42 / $19,953.20
| Facility | | $9,034.56 | $15,827.42 | $19,953.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,034.56 / $15,959.17 / $20,927.24
| Facility | | $9,034.56 | $15,959.17 | $20,927.24 |