- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,798.60 / $7,877.88 / $12,404.30
| Facility | | $5,798.60 | $7,877.88 | $12,404.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,719.77 / $7,353.79 / $11,846.84
| Facility | | $4,719.77 | $7,353.79 | $11,846.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,058.53 / $6,983.60 / $12,640.00
| Facility | | $5,058.53 | $6,983.60 | $12,640.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.77 / $78.11 / $125.83
| Facility | | $53.77 | $78.11 | $125.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,571.71 / $7,711.03 / $12,690.56
| Facility | | $5,571.71 | $7,711.03 | $12,690.56 |