- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,940.01 / $9,048.91 / $12,812.30
| Facility | | $4,940.01 | $9,048.91 | $12,812.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,527.13 / $8,109.18 / $10,354.75
| Facility | | $5,527.13 | $8,109.18 | $10,354.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,263.74 / $8,466.74 / $13,616.32
| Facility | | $5,263.74 | $8,466.74 | $13,616.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,136.12 / $8,139.97 / $14,482.30
| Facility | | $5,136.12 | $8,139.97 | $14,482.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,813.18 / $7,740.51 / $17,125.34
| Facility | | $3,813.18 | $7,740.51 | $17,125.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,268.44 / $7,680.06 / $15,218.48
| Facility | | $3,268.44 | $7,680.06 | $15,218.48 |