- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,460.25 / $6,555.00 / $10,120.29
| Facility | | $4,460.25 | $6,555.00 | $10,120.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,020.88 / $9,981.23 / $12,796.45
| Facility | | $7,020.88 | $9,981.23 | $12,796.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,019.85 / $9,705.42 / $12,275.60
| Facility | | $5,019.85 | $9,705.42 | $12,275.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,460.25 / $6,704.63 / $10,721.00
| Facility | | $4,460.25 | $6,704.63 | $10,721.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,870.29 / $8,919.79 / $13,551.75
| Facility | | $5,870.29 | $8,919.79 | $13,551.75 |