- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,080.20 / $18,080.20 / $21,428.60
| Facility | | $18,080.20 | $18,080.20 | $21,428.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,910.76 / $21,006.50 / $31,424.45
| Facility | | $12,910.76 | $21,006.50 | $31,424.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,787.36 / $18,302.49 / $31,139.57
| Facility | | $14,787.36 | $18,302.49 | $31,139.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,230.00 / $21,227.57 / $34,746.47
| Facility | | $13,230.00 | $21,227.57 | $34,746.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $189.92 / $11,986.62 / $17,730.32
| Facility | | $189.92 | $11,986.62 | $17,730.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,055.09 / $20,971.94 / $24,647.28
| Facility | | $15,055.09 | $20,971.94 | $24,647.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,587.22 / $22,369.63 / $28,198.74
| Facility | | $13,587.22 | $22,369.63 | $28,198.74 |