- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,559.58 / $10,183.79 / $14,419.20
| Facility | | $5,559.58 | $10,183.79 | $14,419.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,800.70 / $9,797.64 / $11,856.41
| Facility | | $8,800.70 | $9,797.64 | $11,856.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,337.25 / $10,351.04 / $16,785.07
| Facility | | $6,337.25 | $10,351.04 | $16,785.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,780.28 / $9,160.87 / $16,298.64
| Facility | | $5,780.28 | $9,160.87 | $16,298.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,291.42 / $8,711.21 / $19,273.16
| Facility | | $4,291.42 | $8,711.21 | $19,273.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,454.96 / $17,127.14
| Facility | | $3,308.00 | $8,454.96 | $17,127.14 |