- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,117.12 / $9,373.33 / $13,271.60
| Facility | | $5,117.12 | $9,373.33 | $13,271.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,418.47 / $8,741.62 / $13,798.16
| Facility | | $5,418.47 | $8,741.62 | $13,798.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,320.26 / $8,431.81 / $15,001.52
| Facility | | $5,320.26 | $8,431.81 | $15,001.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,949.89 / $7,976.22 / $17,739.33
| Facility | | $3,949.89 | $7,976.22 | $17,739.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $7,955.40 / $15,764.09
| Facility | | $3,308.00 | $7,955.40 | $15,764.09 |