- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,407.33 / $12,461.30 / $21,802.60
| Facility | | $9,407.33 | $12,461.30 | $21,802.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,916.01 / $5,916.01 / $5,916.01
| Facility | | $5,916.01 | $5,916.01 | $5,916.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,377.00 / $10,710.88 / $21,141.42
| Facility | | $5,377.00 | $10,710.88 | $21,141.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,967.11 / $12,767.25 / $19,465.88
| Facility | | $8,967.11 | $12,767.25 | $19,465.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $12,841.97 / $19,614.52
| Facility | | $3,496.00 | $12,841.97 | $19,614.52 |