- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,938.50 / $8,055.27 / $25,118.00
| Facility | | $5,938.50 | $8,055.27 | $25,118.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,828.16 / $7,391.14 / $12,252.63
| Facility | | $4,828.16 | $7,391.14 | $12,252.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,936.25 / $8,796.23 / $13,208.00
| Facility | | $6,936.25 | $8,796.23 | $13,208.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,762.73 / $8,787.00 / $21,589.62
| Facility | | $5,762.73 | $8,787.00 | $21,589.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,311.88 / $8,433.34 / $11,562.72
| Facility | | $4,311.88 | $8,433.34 | $11,562.72 |