- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,775.50 / $15,735.40 / $22,777.60
| Facility | | $10,775.50 | $15,735.40 | $22,777.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,971.47 / $11,971.47 / $18,708.96
| Facility | | $11,971.47 | $11,971.47 | $18,708.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,466.28 / $9,516.84 / $15,966.46
| Facility | | $3,466.28 | $9,516.84 | $15,966.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,455.30 / $15,932.54 / $28,322.13
| Facility | | $11,455.30 | $15,932.54 | $28,322.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,554.07 / $17,638.93 / $25,754.28
| Facility | | $13,554.07 | $17,638.93 | $25,754.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,213.48 / $16,973.66 / $24,887.00
| Facility | | $11,213.48 | $16,973.66 | $24,887.00 |