- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,353.90 / $9,338.00 / $14,417.10
| Facility | | $6,353.90 | $9,338.00 | $14,417.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,645.18 / $16,555.36 / $21,224.82
| Facility | | $11,645.18 | $16,555.36 | $21,224.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,151.09 / $13,825.96 / $17,487.34
| Facility | | $7,151.09 | $13,825.96 | $17,487.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,353.90 / $9,551.15 / $15,272.70
| Facility | | $6,353.90 | $9,551.15 | $15,272.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,430.82 / $12,134.33 / $19,083.02
| Facility | | $7,430.82 | $12,134.33 | $19,083.02 |