- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,273.47 / $7,827.97 / $11,083.60
| Facility | | $4,273.47 | $7,827.97 | $11,083.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,681.35 / $7,589.88 / $12,022.84
| Facility | | $4,681.35 | $7,589.88 | $12,022.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,443.12 / $6,736.04 / $12,528.25
| Facility | | $4,443.12 | $6,736.04 | $12,528.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $6,864.62 / $14,814.68
| Facility | | $3,308.00 | $6,864.62 | $14,814.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,000.00 / $7,036.92 / $13,165.10
| Facility | | $3,000.00 | $7,036.92 | $13,165.10 |