- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $11,151.90 / $18,213.00
| Facility | | $6,303.00 | $11,151.90 | $18,213.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,729.14 / $20,257.62 / $27,181.35
| Facility | | $14,729.14 | $20,257.62 | $27,181.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,067.95 / $16,572.50 / $23,231.92
| Facility | | $12,067.95 | $16,572.50 | $23,231.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,506.24 / $18,405.62 / $23,203.47
| Facility | | $10,506.24 | $18,405.62 | $23,203.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,506.24 / $18,558.84 / $24,336.17
| Facility | | $10,506.24 | $18,558.84 | $24,336.17 |