- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,670.03 / $10,386.10 / $14,705.60
| Facility | | $5,670.03 | $10,386.10 | $14,705.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,043.31 / $9,704.42 / $15,533.58
| Facility | | $6,043.31 | $9,704.42 | $15,533.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,895.12 / $9,342.87 / $16,622.45
| Facility | | $5,895.12 | $9,342.87 | $16,622.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,376.68 / $8,733.45 / $19,656.08
| Facility | | $4,376.68 | $8,733.45 | $19,656.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,622.95 / $17,467.41
| Facility | | $3,308.00 | $8,622.95 | $17,467.41 |