- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $11,481.54 / $15,488.17
| Facility | | $6,025.60 | $11,481.54 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $9,549.93 / $11,481.54
| Facility | | $9,332.54 | $9,549.93 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $9,120.11 / $14,791.08
| Facility | | $6,165.95 | $9,120.11 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $12,302.69 / $16,595.87
| Facility | | $5,888.44 | $12,302.69 | $16,595.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $8,912.51 / $18,197.01
| Facility | | $4,365.16 | $8,912.51 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $8,912.51 / $17,378.01
| Facility | | $3,801.89 | $8,912.51 | $17,378.01 |