- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $11,685.90 / $19,085.00
| Facility | | $6,303.00 | $11,685.90 | $19,085.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,895.33 / $21,227.55 / $28,482.80
| Facility | | $14,895.33 | $21,227.55 | $28,482.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,596.40 / $17,276.54 / $24,344.27
| Facility | | $7,596.40 | $17,276.54 | $24,344.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,009.28 / $18,113.71 / $24,314.45
| Facility | | $11,009.28 | $18,113.71 | $24,314.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,009.28 / $19,286.88 / $25,501.39
| Facility | | $11,009.28 | $19,286.88 | $25,501.39 |