- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,357.76 / $7,983.43 / $12,780.30
| Facility | | $5,357.76 | $7,983.43 | $12,780.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,346.56 / $5,346.56 / $5,346.56
| Facility | | $5,346.56 | $5,346.56 | $5,346.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,131.43 / $6,138.30 / $8,644.76
| Facility | | $3,131.43 | $6,138.30 | $8,644.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,753.75 / $7,288.95 / $11,158.69
| Facility | | $4,753.75 | $7,288.95 | $11,158.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,667.80 / $8,861.86 / $11,156.43
| Facility | | $4,667.80 | $8,861.86 | $11,156.43 |