- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,365.19 / $9,057.34 / $15,938.30
| Facility | | $5,365.19 | $9,057.34 | $15,938.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,468.27 / $4,468.27 / $4,468.27
| Facility | | $4,468.27 | $4,468.27 | $4,468.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,224.22 / $6,235.37 / $10,053.79
| Facility | | $4,224.22 | $6,235.37 | $10,053.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,880.47 / $8,348.65 / $12,018.24
| Facility | | $4,880.47 | $8,348.65 | $12,018.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $7,893.39 / $11,274.80
| Facility | | $1,787.00 | $7,893.39 | $11,274.80 |