- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,053.52 / $14,759.50
| Facility | | $6,303.00 | $7,053.52 | $14,759.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,316.07 / $12,812.80 / $17,192.00
| Facility | | $9,316.07 | $12,812.80 | $17,192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,632.89 / $10,481.98 / $14,694.02
| Facility | | $7,632.89 | $10,481.98 | $14,694.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,645.12 / $11,641.42 / $14,676.02
| Facility | | $6,645.12 | $11,641.42 | $14,676.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,645.12 / $11,738.33 / $15,392.45
| Facility | | $6,645.12 | $11,738.33 | $15,392.45 |