- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $5,754.40 / $7,585.78
| Facility | | $2,238.72 | $5,754.40 | $7,585.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $5,011.87 / $8,912.51
| Facility | | $3,311.31 | $5,011.87 | $8,912.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $5,623.41 / $6,456.54
| Facility | | $4,073.80 | $5,623.41 | $6,456.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $6,025.60 / $8,317.64
| Facility | | $4,897.79 | $6,025.60 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,819.70 / $5,495.41 / $7,413.10
| Facility | | $1,819.70 | $5,495.41 | $7,413.10 |