- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $12,126.10 / $19,804.00
| Facility | | $6,303.00 | $12,126.10 | $19,804.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,015.78 / $22,027.20 / $29,555.74
| Facility | | $16,015.78 | $22,027.20 | $29,555.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,122.13 / $18,020.16 / $25,261.32
| Facility | | $13,122.13 | $18,020.16 | $25,261.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,424.00 / $20,013.41 / $25,230.38
| Facility | | $11,424.00 | $20,013.41 | $25,230.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,424.00 / $20,180.02 / $26,462.03
| Facility | | $11,424.00 | $20,180.02 | $26,462.03 |