- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,436.87 / $11,790.80 / $16,694.50
| Facility | | $6,436.87 | $11,790.80 | $16,694.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,011.02 / $11,336.50 / $18,168.45
| Facility | | $7,011.02 | $11,336.50 | $18,168.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,692.40 / $10,606.44 / $18,870.54
| Facility | | $6,692.40 | $10,606.44 | $18,870.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,968.60 / $10,007.17 / $22,314.45
| Facility | | $4,968.60 | $10,007.17 | $22,314.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $9,789.16 / $19,829.78
| Facility | | $3,308.00 | $9,789.16 | $19,829.78 |