- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,781.89 / $5,218.41 / $8,733.76
| Facility | | $3,781.89 | $5,218.41 | $8,733.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,819.13 / $5,819.13 / $9,172.78
| Facility | | $5,819.13 | $5,819.13 | $9,172.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,423.00 / $5,989.95 / $9,225.50
| Facility | | $2,423.00 | $5,989.95 | $9,225.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,870.73 / $5,870.93 / $9,845.52
| Facility | | $3,870.73 | $5,870.93 | $9,845.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,600.00 / $4,829.00 / $10,535.87
| Facility | | $2,600.00 | $4,829.00 | $10,535.87 |