- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,922.05 / $12,287.50 / $16,482.59
| Facility | | $5,922.05 | $12,287.50 | $16,482.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,526.44 / $10,269.79 / $18,609.56
| Facility | | $5,526.44 | $10,269.79 | $18,609.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $10,760.41 / $12,794.63
| Facility | | $2,651.00 | $10,760.41 | $12,794.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,444.39 / $12,688.20 / $19,970.84
| Facility | | $10,444.39 | $12,688.20 | $19,970.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,713.00 / $15,675.94
| Facility | | $1,350.00 | $5,713.00 | $15,675.94 |