- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,944.12 / $16,623.09
| Facility | | $6,303.00 | $7,944.12 | $16,623.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,492.36 / $14,430.59 / $19,362.74
| Facility | | $10,492.36 | $14,430.59 | $19,362.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,596.65 / $11,805.48 / $16,549.34
| Facility | | $8,596.65 | $11,805.48 | $16,549.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,484.16 / $13,111.31 / $16,529.08
| Facility | | $7,484.16 | $13,111.31 | $16,529.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,484.16 / $13,220.46 / $17,335.97
| Facility | | $7,484.16 | $13,220.46 | $17,335.97 |