- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,126.64 / $9,390.77 / $13,296.30
| Facility | | $5,126.64 | $9,390.77 | $13,296.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,332.05 / $8,644.31 / $13,682.10
| Facility | | $5,332.05 | $8,644.31 | $13,682.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,330.16 / $8,447.50 / $15,029.44
| Facility | | $5,330.16 | $8,447.50 | $15,029.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,957.24 / $7,946.82 / $17,772.34
| Facility | | $3,957.24 | $7,946.82 | $17,772.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $7,970.20 / $15,793.43
| Facility | | $3,308.00 | $7,970.20 | $15,793.43 |