- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,460.60 / $14,771.10 / $30,018.90
| Facility | | $11,460.60 | $14,771.10 | $30,018.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,818.97 / $10,818.97 / $12,916.76
| Facility | | $10,818.97 | $10,818.97 | $12,916.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,499.16 / $14,414.44 / $16,479.43
| Facility | | $11,499.16 | $14,414.44 | $16,479.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,148.00 / $16,192.91 / $21,059.58
| Facility | | $9,148.00 | $16,192.91 | $21,059.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,854.27 / $14,854.27 / $14,854.27
| Facility | | $14,854.27 | $14,854.27 | $14,854.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $12,986.32 / $19,999.25
| Facility | | $1,286.00 | $12,986.32 | $19,999.25 |