- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,989.72 / $7,308.20 / $10,347.60
| Facility | | $3,989.72 | $7,308.20 | $10,347.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,808.14 / $7,869.95 / $12,813.69
| Facility | | $4,808.14 | $7,869.95 | $12,813.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,148.10 / $6,574.11 / $11,696.39
| Facility | | $4,148.10 | $6,574.11 | $11,696.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $6,450.09 / $13,831.00
| Facility | | $3,308.00 | $6,450.09 | $13,831.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,000.00 / $6,569.67 / $12,290.95
| Facility | | $3,000.00 | $6,569.67 | $12,290.95 |