- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,633.70 / $16,283.10 / $33,091.50
| Facility | | $12,633.70 | $16,283.10 | $33,091.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,111.72 / $17,833.32 / $19,918.82
| Facility | | $14,111.72 | $17,833.32 | $19,918.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,946.14 / $16,228.26 / $18,553.09
| Facility | | $12,946.14 | $16,228.26 | $18,553.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,084.36 / $17,850.38 / $23,215.18
| Facility | | $10,084.36 | $17,850.38 | $23,215.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,228.48 / $20,508.32 / $22,916.77
| Facility | | $16,228.48 | $20,508.32 | $22,916.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $15,487.96 / $22,802.64
| Facility | | $1,518.00 | $15,487.96 | $22,802.64 |