- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,572.46 / $8,375.65 / $11,859.00
| Facility | | $4,572.46 | $8,375.65 | $11,859.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,888.21 / $7,850.59 / $12,347.95
| Facility | | $4,888.21 | $7,850.59 | $12,347.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,753.97 / $7,534.34 / $13,404.78
| Facility | | $4,753.97 | $7,534.34 | $13,404.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,529.47 / $7,108.64 / $15,851.18
| Facility | | $3,529.47 | $7,108.64 | $15,851.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,025.26 / $7,344.90 / $14,086.19
| Facility | | $3,025.26 | $7,344.90 | $14,086.19 |