- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $13,489.63 / $18,197.01
| Facility | | $7,079.46 | $13,489.63 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,585.78 / $11,481.54 / $19,054.61
| Facility | | $7,585.78 | $11,481.54 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $14,454.40 / $19,498.45
| Facility | | $6,918.31 | $14,454.40 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $10,232.93 / $21,379.62
| Facility | | $5,128.61 | $10,232.93 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $10,232.93 / $20,417.38
| Facility | | $4,365.16 | $10,232.93 | $20,417.38 |