- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,030.41 / $12,661.90 / $17,914.40
| Facility | | $6,030.41 | $12,661.90 | $17,914.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,285.18 / $9,299.83 / $15,384.47
| Facility | | $6,285.18 | $9,299.83 | $15,384.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,485.60 / $9,383.78 / $13,508.35
| Facility | | $5,485.60 | $9,383.78 | $13,508.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,806.09 / $19,806.09 / $23,244.14
| Facility | | $19,806.09 | $19,806.09 | $23,244.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $8,872.07 / $12,672.74
| Facility | | $1,787.00 | $8,872.07 | $12,672.74 |