- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,138.71 / $9,412.87 / $13,327.60
| Facility | | $5,138.71 | $9,412.87 | $13,327.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,590.56 / $8,989.77 / $14,407.46
| Facility | | $5,590.56 | $8,989.77 | $14,407.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,342.70 / $8,467.37 / $15,064.80
| Facility | | $5,342.70 | $8,467.37 | $15,064.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,966.55 / $7,988.96 / $17,814.15
| Facility | | $3,966.55 | $7,988.96 | $17,814.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $7,988.96 / $15,830.58
| Facility | | $3,308.00 | $7,988.96 | $15,830.58 |