- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,920.93 / $9,995.52 / $17,589.20
| Facility | | $5,920.93 | $9,995.52 | $17,589.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,285.18 / $9,277.54 / $15,339.91
| Facility | | $6,285.18 | $9,277.54 | $15,339.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,386.02 / $9,213.43 / $13,263.12
| Facility | | $5,386.02 | $9,213.43 | $13,263.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,479.40 / $17,479.40 / $20,513.56
| Facility | | $17,479.40 | $17,479.40 | $20,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $8,711.01 / $12,442.68
| Facility | | $1,787.00 | $8,711.01 | $12,442.68 |