- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,528.47 / $10,126.79 / $14,338.50
| Facility | | $5,528.47 | $10,126.79 | $14,338.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,230.23 / $9,704.39 / $11,008.60
| Facility | | $6,230.23 | $9,704.39 | $11,008.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,961.75 / $9,621.14 / $15,419.34
| Facility | | $5,961.75 | $9,621.14 | $15,419.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,747.94 / $9,109.61 / $16,207.45
| Facility | | $5,747.94 | $9,109.61 | $16,207.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,267.41 / $8,632.82 / $19,165.34
| Facility | | $4,267.41 | $8,632.82 | $19,165.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,407.67 / $17,031.32
| Facility | | $3,308.00 | $8,407.67 | $17,031.32 |