- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,584.00 / $10,159.84 / $21,649.70
| Facility | | $1,584.00 | $10,159.84 | $21,649.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,949.54 / $12,006.59 / $19,624.73
| Facility | | $7,949.54 | $12,006.59 | $19,624.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,293.00 / $9,630.53 / $13,151.62
| Facility | | $5,293.00 | $9,630.53 | $13,151.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,052.83 / $10,788.42 / $18,902.74
| Facility | | $8,052.83 | $10,788.42 | $18,902.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $10,244.00 / $15,873.89
| Facility | | $3,535.00 | $10,244.00 | $15,873.89 |