- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,159.52 / $6,649.92 / $13,514.40
| Facility | | $5,159.52 | $6,649.92 | $13,514.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,806.06 / $6,296.65 / $7,243.41
| Facility | | $4,806.06 | $6,296.65 | $7,243.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,137.56 / $6,440.04 / $7,362.63
| Facility | | $5,137.56 | $6,440.04 | $7,362.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,118.39 / $7,290.00 / $9,480.95
| Facility | | $4,118.39 | $7,290.00 | $9,480.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,526.97 / $7,241.15 / $8,329.92
| Facility | | $5,526.97 | $7,241.15 | $8,329.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $5,846.40 / $9,003.60
| Facility | | $1,286.00 | $5,846.40 | $9,003.60 |