- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,049.33 / $7,373.53 / $9,691.35
| Facility | | $5,049.33 | $7,373.53 | $9,691.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,367.05 / $11,777.63 / $19,920.27
| Facility | | $4,367.05 | $11,777.63 | $19,920.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,367.90 / $7,440.43 / $12,396.47
| Facility | | $5,367.90 | $7,440.43 | $12,396.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,351.38 / $8,265.53 / $12,068.34
| Facility | | $6,351.38 | $8,265.53 | $12,068.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,351.38 / $7,683.91 / $12,068.34
| Facility | | $6,351.38 | $7,683.91 | $12,068.34 |