- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,062.32 / $5,308.29 / $8,813.01
| Facility | | $4,062.32 | $5,308.29 | $8,813.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,072.02 / $4,702.77 / $7,797.96
| Facility | | $3,072.02 | $4,702.77 | $7,797.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,606.97 / $5,914.48 / $8,141.12
| Facility | | $4,606.97 | $5,914.48 | $8,141.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.45 / $5,707.41 / $13,736.87
| Facility | | $3,801.45 | $5,707.41 | $13,736.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.45 / $5,563.14 / $7,811.34
| Facility | | $3,801.45 | $5,563.14 | $7,811.34 |