- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,694.47 / $16,100.70
| Facility | | $6,303.00 | $7,694.47 | $16,100.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,162.62 / $13,977.09 / $18,754.24
| Facility | | $10,162.62 | $13,977.09 | $18,754.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,326.49 / $11,434.48 / $16,029.26
| Facility | | $8,326.49 | $11,434.48 | $16,029.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,248.96 / $12,699.27 / $16,009.63
| Facility | | $7,248.96 | $12,699.27 | $16,009.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,248.96 / $12,804.99 / $16,791.16
| Facility | | $7,248.96 | $12,804.99 | $16,791.16 |