- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,771.16 / $8,739.61 / $12,374.30
| Facility | | $4,771.16 | $8,739.61 | $12,374.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,335.76 / $5,335.76 / $5,335.76
| Facility | | $5,335.76 | $5,335.76 | $5,335.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,053.62 / $8,126.47 / $12,769.96
| Facility | | $5,053.62 | $8,126.47 | $12,769.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,960.56 / $7,861.74 / $13,987.28
| Facility | | $4,960.56 | $7,861.74 | $13,987.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,682.84 / $7,587.75 / $16,539.98
| Facility | | $3,682.84 | $7,587.75 | $16,539.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,156.72 / $7,473.00 / $14,698.29
| Facility | | $3,156.72 | $7,473.00 | $14,698.29 |