- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,725.20 / $14,725.20 / $17,452.30
| Facility | | $14,725.20 | $14,725.20 | $17,452.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,040.49 / $16,336.42 / $24,438.29
| Facility | | $10,040.49 | $16,336.42 | $24,438.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,043.41 / $14,906.26 / $25,361.28
| Facility | | $12,043.41 | $14,906.26 | $25,361.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,775.03 / $17,288.56 / $28,298.88
| Facility | | $10,775.03 | $17,288.56 | $28,298.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.69 / $9,321.79 / $14,440.26
| Facility | | $147.69 | $9,321.79 | $14,440.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,261.45 / $17,080.36 / $20,073.71
| Facility | | $12,261.45 | $17,080.36 | $20,073.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,065.96 / $18,218.70 / $22,966.16
| Facility | | $11,065.96 | $18,218.70 | $22,966.16 |