- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $8,023.61 / $16,642.00
| Facility | | $6,303.00 | $8,023.61 | $16,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,597.33 / $14,574.97 / $19,556.46
| Facility | | $10,597.33 | $14,574.97 | $19,556.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,682.66 / $11,923.60 / $16,714.93
| Facility | | $8,682.66 | $11,923.60 | $16,714.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,559.04 / $13,242.49 / $16,694.45
| Facility | | $7,559.04 | $13,242.49 | $16,694.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,559.04 / $13,352.73 / $17,509.41
| Facility | | $7,559.04 | $13,352.73 | $17,509.41 |