- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,677.10 / $14,677.10 / $17,395.20
| Facility | | $14,677.10 | $14,677.10 | $17,395.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,810.91 / $17,589.93 / $26,313.46
| Facility | | $10,810.91 | $17,589.93 | $26,313.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,004.05 / $14,857.55 / $25,278.40
| Facility | | $12,004.05 | $14,857.55 | $25,278.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,739.82 / $17,232.06 / $28,206.40
| Facility | | $10,739.82 | $17,232.06 | $28,206.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.03 / $10,037.08 / $14,393.07
| Facility | | $159.03 | $10,037.08 | $14,393.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,221.38 / $17,024.54 / $20,008.11
| Facility | | $12,221.38 | $17,024.54 | $20,008.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,029.80 / $18,159.16 / $22,891.10
| Facility | | $11,029.80 | $18,159.16 | $22,891.10 |