- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,755.30 / $13,755.30 / $16,302.70
| Facility | | $13,755.30 | $13,755.30 | $16,302.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,632.94 / $15,673.32 / $23,446.33
| Facility | | $9,632.94 | $15,673.32 | $23,446.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,250.11 / $13,924.39 / $23,690.73
| Facility | | $11,250.11 | $13,924.39 | $23,690.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,065.28 / $16,149.76 / $26,434.83
| Facility | | $10,065.28 | $16,149.76 | $26,434.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $141.71 / $8,943.43 / $13,489.08
| Facility | | $141.71 | $8,943.43 | $13,489.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,453.79 / $15,955.28 / $18,751.45
| Facility | | $11,453.79 | $15,955.28 | $18,751.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,337.04 / $17,018.63 / $21,453.37
| Facility | | $10,337.04 | $17,018.63 | $21,453.37 |