- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $8,229.44 / $16,642.00
| Facility | | $6,303.00 | $8,229.44 | $16,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,869.20 / $14,948.88 / $20,058.16
| Facility | | $10,869.20 | $14,948.88 | $20,058.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,905.41 / $12,229.49 / $17,143.73
| Facility | | $8,905.41 | $12,229.49 | $17,143.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,752.96 / $13,582.22 / $17,122.74
| Facility | | $7,752.96 | $13,582.22 | $17,122.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,752.96 / $13,695.28 / $17,958.59
| Facility | | $7,752.96 | $13,695.28 | $17,958.59 |