- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,251.70 / $9,619.84 / $13,620.70
| Facility | | $5,251.70 | $9,619.84 | $13,620.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,608.11 / $9,069.36 / $14,354.87
| Facility | | $5,608.11 | $9,069.36 | $14,354.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,460.18 / $8,653.56 / $15,396.05
| Facility | | $5,460.18 | $8,653.56 | $15,396.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,053.77 / $8,157.59 / $18,205.86
| Facility | | $4,053.77 | $8,157.59 | $18,205.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,164.62 / $16,178.68
| Facility | | $3,308.00 | $8,164.62 | $16,178.68 |