- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,493.70 / $17,493.70 / $20,733.50
| Facility | | $17,493.70 | $17,493.70 | $20,733.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,675.39 / $20,623.53 / $30,851.55
| Facility | | $12,675.39 | $20,623.53 | $30,851.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,307.69 / $17,708.80 / $30,129.47
| Facility | | $14,307.69 | $17,708.80 | $30,129.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,800.85 / $20,538.99 / $33,619.37
| Facility | | $12,800.85 | $20,538.99 | $33,619.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.46 / $11,768.09 / $17,155.18
| Facility | | $186.46 | $11,768.09 | $17,155.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,566.74 / $20,291.65 / $23,847.78
| Facility | | $14,566.74 | $20,291.65 | $23,847.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,211.16 / $21,483.82 / $27,284.04
| Facility | | $12,211.16 | $21,483.82 | $27,284.04 |