- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,149.50 / $9,432.62 / $13,355.60
| Facility | | $5,149.50 | $9,432.62 | $13,355.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,675.92 / $9,183.25 / $14,717.55
| Facility | | $5,675.92 | $9,183.25 | $14,717.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,353.92 / $8,485.15 / $15,096.43
| Facility | | $5,353.92 | $8,485.15 | $15,096.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,974.88 / $8,007.58 / $17,851.56
| Facility | | $3,974.88 | $8,007.58 | $17,851.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,005.73 / $15,863.83
| Facility | | $3,308.00 | $8,005.73 | $15,863.83 |