- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $13,469.10 / $21,997.40
| Facility | | $6,303.00 | $13,469.10 | $21,997.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,789.63 / $24,466.85 / $32,829.23
| Facility | | $17,789.63 | $24,466.85 | $32,829.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,575.49 / $20,016.02 / $28,059.17
| Facility | | $14,575.49 | $20,016.02 | $28,059.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,689.28 / $22,230.03 / $28,024.80
| Facility | | $12,689.28 | $22,230.03 | $28,024.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,689.28 / $22,415.08 / $29,392.87
| Facility | | $12,689.28 | $22,415.08 | $29,392.87 |