- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,468.00 / $13,468.00 / $15,962.30
| Facility | | $13,468.00 | $13,468.00 | $15,962.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,859.60 / $16,042.10 / $23,998.01
| Facility | | $9,859.60 | $16,042.10 | $23,998.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,015.19 / $13,633.63 / $23,196.04
| Facility | | $11,015.19 | $13,633.63 | $23,196.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,855.10 / $15,812.53 / $25,882.84
| Facility | | $9,855.10 | $15,812.53 | $25,882.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $145.04 / $9,153.86 / $13,207.41
| Facility | | $145.04 | $9,153.86 | $13,207.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,214.62 / $15,622.11 / $18,359.90
| Facility | | $11,214.62 | $15,622.11 | $18,359.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,121.19 / $16,663.25 / $21,005.40
| Facility | | $10,121.19 | $16,663.25 | $21,005.40 |