- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,844.00 / $12,239.30 / $17,157.80
| Facility | | $8,844.00 | $12,239.30 | $17,157.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,183.11 / $10,606.97 / $19,737.84
| Facility | | $9,183.11 | $10,606.97 | $19,737.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,238.31 / $11,713.03 / $17,571.77
| Facility | | $7,238.31 | $11,713.03 | $17,571.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,564.00 / $10,373.85 / $17,759.47
| Facility | | $6,564.00 | $10,373.85 | $17,759.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,564.00 / $11,243.79 / $15,765.28
| Facility | | $6,564.00 | $11,243.79 | $15,765.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,006.40 / $13,564.39 / $19,071.41
| Facility | | $7,006.40 | $13,564.39 | $19,071.41 |