- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,164.03 / $7,852.21 / $13,036.50
| Facility | | $5,164.03 | $7,852.21 | $13,036.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,168.00 / $6,205.00 / $8,934.85
| Facility | | $3,168.00 | $6,205.00 | $8,934.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,020.95 / $7,159.04 / $11,867.86
| Facility | | $4,020.95 | $7,159.04 | $11,867.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,814.80 / $8,375.28 / $12,042.63
| Facility | | $6,814.80 | $8,375.28 | $12,042.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,207.50 / $8,442.60 / $20,911.64
| Facility | | $4,207.50 | $8,442.60 | $20,911.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,207.50 / $8,229.20 / $11,282.83
| Facility | | $4,207.50 | $8,229.20 | $11,282.83 |