- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $11,205.90 / $18,301.20
| Facility | | $6,303.00 | $11,205.90 | $18,301.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,800.47 / $20,355.72 / $27,312.99
| Facility | | $14,800.47 | $20,355.72 | $27,312.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,126.39 / $16,652.75 / $23,344.43
| Facility | | $12,126.39 | $16,652.75 | $23,344.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,557.12 / $18,494.75 / $23,315.84
| Facility | | $10,557.12 | $18,494.75 | $23,315.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,557.12 / $18,648.71 / $24,454.03
| Facility | | $10,557.12 | $18,648.71 | $24,454.03 |