- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,412.21 / $15,510.10
| Facility | | $6,303.00 | $7,412.21 | $15,510.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,789.81 / $13,464.36 / $18,066.25
| Facility | | $9,789.81 | $13,464.36 | $18,066.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,021.04 / $11,015.02 / $15,441.25
| Facility | | $8,021.04 | $11,015.02 | $15,441.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,983.04 / $12,233.41 / $15,422.33
| Facility | | $6,983.04 | $12,233.41 | $15,422.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,128.52 / $10,725.51 / $15,730.75
| Facility | | $7,128.52 | $10,725.51 | $15,730.75 |