- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,592.97 / $6,581.45 / $9,318.62
| Facility | | $3,592.97 | $6,581.45 | $9,318.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,666.74 / $7,572.77 / $12,215.06
| Facility | | $4,666.74 | $7,572.77 | $12,215.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,735.60 / $7,561.76 / $11,542.00
| Facility | | $3,735.60 | $7,561.76 | $11,542.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $5,743.20 / $12,455.60
| Facility | | $3,308.00 | $5,743.20 | $12,455.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,773.40 / $5,916.36 / $11,068.70
| Facility | | $2,773.40 | $5,916.36 | $11,068.70 |