- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,278.81 / $11,501.30 / $16,284.50
| Facility | | $6,278.81 | $11,501.30 | $16,284.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,346.87 / $11,915.42 / $19,164.00
| Facility | | $7,346.87 | $11,915.42 | $19,164.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,528.06 / $10,345.99 / $18,407.15
| Facility | | $6,528.06 | $10,345.99 | $18,407.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,846.59 / $9,838.21 / $21,766.49
| Facility | | $4,846.59 | $9,838.21 | $21,766.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $9,237.20 / $19,342.84
| Facility | | $3,308.00 | $9,237.20 | $19,342.84 |