- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,192.90 / $15,192.90 / $18,006.59
| Facility | | $15,192.90 | $15,192.90 | $18,006.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,081.15 / $18,029.63 / $26,971.23
| Facility | | $11,081.15 | $18,029.63 | $26,971.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,425.91 / $15,379.70 / $26,166.77
| Facility | | $12,425.91 | $15,379.70 | $26,166.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,117.25 / $17,837.65 / $29,197.67
| Facility | | $11,117.25 | $17,837.65 | $29,197.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.01 / $10,287.98 / $14,898.89
| Facility | | $163.01 | $10,287.98 | $14,898.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,650.89 / $17,622.84 / $20,711.25
| Facility | | $12,650.89 | $17,622.84 | $20,711.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,417.42 / $18,797.34 / $23,695.58
| Facility | | $11,417.42 | $18,797.34 | $23,695.58 |