- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,340.57 / $9,782.64 / $13,851.20
| Facility | | $5,340.57 | $9,782.64 | $13,851.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,252.63 / $9,112.86 / $13,857.94
| Facility | | $5,252.63 | $9,112.86 | $13,857.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,552.58 / $8,800.00 / $15,656.59
| Facility | | $5,552.58 | $8,800.00 | $15,656.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,122.37 / $8,781.51 / $18,513.95
| Facility | | $4,122.37 | $8,781.51 | $18,513.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,291.00 / $16,452.46
| Facility | | $3,308.00 | $8,291.00 | $16,452.46 |