- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,752.96 / $9,711.95 / $17,090.20
| Facility | | $5,752.96 | $9,711.95 | $17,090.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,398.22 / $6,507.81 / $10,661.58
| Facility | | $4,398.22 | $6,507.81 | $10,661.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,233.22 / $8,952.04 / $12,886.85
| Facility | | $5,233.22 | $8,952.04 | $12,886.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,224.05 / $18,224.05 / $21,387.47
| Facility | | $18,224.05 | $18,224.05 | $21,387.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $8,463.87 / $12,089.68
| Facility | | $1,787.00 | $8,463.87 | $12,089.68 |