- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,686.09 / $8,583.79 / $12,153.70
| Facility | | $4,686.09 | $8,583.79 | $12,153.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,014.70 / $8,091.36 / $12,967.62
| Facility | | $5,014.70 | $8,091.36 | $12,967.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,872.12 / $7,721.57 / $13,737.90
| Facility | | $4,872.12 | $7,721.57 | $13,737.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,617.18 / $7,126.58 / $16,245.09
| Facility | | $3,617.18 | $7,126.58 | $16,245.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,100.44 / $7,473.00 / $14,436.24
| Facility | | $3,100.44 | $7,473.00 | $14,436.24 |