- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,584.90 / $16,220.30 / $32,963.90
| Facility | | $12,584.90 | $16,220.30 | $32,963.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,089.38 / $16,089.38 / $16,565.41
| Facility | | $16,089.38 | $16,089.38 | $16,565.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,703.32 / $15,923.88 / $18,205.11
| Facility | | $12,703.32 | $15,923.88 | $18,205.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,045.45 / $17,781.53 / $23,125.64
| Facility | | $10,045.45 | $17,781.53 | $23,125.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,502.79 / $18,502.79 / $19,050.23
| Facility | | $18,502.79 | $18,502.79 | $19,050.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $14,260.34 / $21,961.28
| Facility | | $1,286.00 | $14,260.34 | $21,961.28 |