- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,053.10 / $16,053.10 / $19,026.09
| Facility | | $16,053.10 | $16,053.10 | $19,026.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,666.32 / $18,981.73 / $28,395.52
| Facility | | $11,666.32 | $18,981.73 | $28,395.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,129.43 / $16,250.45 / $27,648.25
| Facility | | $13,129.43 | $16,250.45 | $27,648.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,746.67 / $18,847.57 / $30,850.75
| Facility | | $11,746.67 | $18,847.57 | $30,850.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $171.62 / $10,831.26 / $15,742.42
| Facility | | $171.62 | $10,831.26 | $15,742.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,367.14 / $18,620.59 / $21,883.87
| Facility | | $13,367.14 | $18,620.59 | $21,883.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,063.84 / $19,861.58 / $25,037.15
| Facility | | $12,063.84 | $19,861.58 | $25,037.15 |