- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,861.79 / $5,675.48 / $8,762.45
| Facility | | $3,861.79 | $5,675.48 | $8,762.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,705.58 / $7,762.52 / $13,450.28
| Facility | | $6,705.58 | $7,762.52 | $13,450.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,379.52 / $9,069.43 / $11,627.48
| Facility | | $6,379.52 | $9,069.43 | $11,627.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,346.31 / $8,403.19 / $10,628.51
| Facility | | $4,346.31 | $8,403.19 | $10,628.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,861.79 / $5,805.03 / $9,282.50
| Facility | | $3,861.79 | $5,805.03 | $9,282.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,516.32 / $7,722.97 / $11,733.44
| Facility | | $4,516.32 | $7,722.97 | $11,733.44 |