- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,840.19 / $16,405.59
| Facility | | $6,303.00 | $7,840.19 | $16,405.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,355.08 / $14,241.79 / $19,109.40
| Facility | | $10,355.08 | $14,241.79 | $19,109.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,484.17 / $11,651.02 / $16,332.82
| Facility | | $8,484.17 | $11,651.02 | $16,332.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,386.24 / $12,939.77 / $16,312.82
| Facility | | $7,386.24 | $12,939.77 | $16,312.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,386.24 / $13,047.49 / $17,109.15
| Facility | | $7,386.24 | $13,047.49 | $17,109.15 |