- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,214.69 / $11,383.80 / $16,118.30
| Facility | | $6,214.69 | $11,383.80 | $16,118.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,915.02 / $11,272.84 / $18,190.22
| Facility | | $6,915.02 | $11,272.84 | $18,190.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,461.40 / $10,240.34 / $18,219.18
| Facility | | $6,461.40 | $10,240.34 | $18,219.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,797.10 / $9,793.87 / $21,544.23
| Facility | | $4,797.10 | $9,793.87 | $21,544.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $9,451.27 / $19,145.32
| Facility | | $3,308.00 | $9,451.27 | $19,145.32 |