- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,098.42 / $6,023.24 / $9,299.36
| Facility | | $4,098.42 | $6,023.24 | $9,299.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,927.19 / $8,676.70 / $10,253.00
| Facility | | $6,927.19 | $8,676.70 | $10,253.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,298.13 / $7,532.09 / $9,656.52
| Facility | | $5,298.13 | $7,532.09 | $9,656.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,362.52 / $8,546.89 / $12,357.37
| Facility | | $4,362.52 | $8,546.89 | $12,357.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,098.42 / $6,160.73 / $9,851.27
| Facility | | $4,098.42 | $6,160.73 | $9,851.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,793.06 / $8,196.19 / $12,452.39
| Facility | | $4,793.06 | $8,196.19 | $12,452.39 |