- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,520.22 / $10,111.70 / $14,317.10
| Facility | | $5,520.22 | $10,111.70 | $14,317.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,752.40 / $9,237.77 / $14,516.27
| Facility | | $5,752.40 | $9,237.77 | $14,516.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,739.36 / $9,096.02 / $16,183.26
| Facility | | $5,739.36 | $9,096.02 | $16,183.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,261.04 / $8,670.06 / $19,136.73
| Facility | | $4,261.04 | $8,670.06 | $19,136.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $8,395.12 / $17,005.90
| Facility | | $3,308.00 | $8,395.12 | $17,005.90 |