- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,353.80 / $15,353.80 / $18,197.30
| Facility | | $15,353.80 | $15,353.80 | $18,197.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,216.28 / $18,249.48 / $27,300.12
| Facility | | $11,216.28 | $18,249.48 | $27,300.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,557.51 / $15,542.58 / $26,443.90
| Facility | | $12,557.51 | $15,542.58 | $26,443.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,234.99 / $18,026.57 / $29,506.90
| Facility | | $11,234.99 | $18,026.57 | $29,506.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $165.00 / $10,413.43 / $15,056.69
| Facility | | $165.00 | $10,413.43 | $15,056.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,784.87 / $17,809.49 / $20,930.61
| Facility | | $12,784.87 | $17,809.49 | $20,930.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,538.34 / $18,996.41 / $23,946.53
| Facility | | $11,538.34 | $18,996.41 | $23,946.53 |