- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,648.53 / $7,248.01 / $12,033.40
| Facility | | $5,648.53 | $7,248.01 | $12,033.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,945.99 / $6,253.05 / $10,582.98
| Facility | | $3,945.99 | $6,253.05 | $10,582.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,278.02 / $6,548.96 / $10,916.53
| Facility | | $4,278.02 | $6,548.96 | $10,916.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,247.56 / $7,730.84 / $11,116.00
| Facility | | $6,247.56 | $7,730.84 | $11,116.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,952.00 / $7,792.98 / $19,129.61
| Facility | | $3,952.00 | $7,792.98 | $19,129.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,952.00 / $7,595.99 / $10,414.66
| Facility | | $3,952.00 | $7,595.99 | $10,414.66 |