- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,092.20 / $16,092.20 / $19,072.40
| Facility | | $16,092.20 | $16,092.20 | $19,072.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,874.46 / $19,320.38 / $28,902.11
| Facility | | $11,874.46 | $19,320.38 | $28,902.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,161.41 / $16,290.03 / $27,715.59
| Facility | | $13,161.41 | $16,290.03 | $27,715.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,775.28 / $19,022.09 / $30,925.89
| Facility | | $11,775.28 | $19,022.09 | $30,925.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $174.68 / $11,024.49 / $15,780.76
| Facility | | $174.68 | $11,024.49 | $15,780.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,399.70 / $18,665.95 / $21,937.17
| Facility | | $13,399.70 | $18,665.95 | $21,937.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,093.22 / $20,032.27 / $25,098.13
| Facility | | $12,093.22 | $20,032.27 | $25,098.13 |