- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,732.70 / $13,732.70 / $16,276.00
| Facility | | $13,732.70 | $13,732.70 | $16,276.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,094.98 / $16,425.07 / $24,570.90
| Facility | | $10,094.98 | $16,425.07 | $24,570.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,231.66 / $13,901.55 / $23,651.88
| Facility | | $11,231.66 | $13,901.55 | $23,651.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,048.77 / $16,123.28 / $26,391.48
| Facility | | $10,048.77 | $16,123.28 | $26,391.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $148.50 / $9,372.39 / $13,466.96
| Facility | | $148.50 | $9,372.39 | $13,466.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,435.01 / $15,929.11 / $18,720.70
| Facility | | $11,435.01 | $15,929.11 | $18,720.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,320.09 / $16,990.73 / $21,418.19
| Facility | | $10,320.09 | $16,990.73 | $21,418.19 |