- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,749.11 / $5,509.88 / $8,506.78
| Facility | | $3,749.11 | $5,509.88 | $8,506.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,027.37 / $9,990.45 / $12,808.28
| Facility | | $7,027.37 | $9,990.45 | $12,808.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,219.50 / $8,158.00 / $10,318.39
| Facility | | $4,219.50 | $8,158.00 | $10,318.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,749.11 / $5,635.65 / $9,011.65
| Facility | | $3,749.11 | $5,635.65 | $9,011.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,934.34 / $7,830.62 / $11,391.08
| Facility | | $4,934.34 | $7,830.62 | $11,391.08 |