- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,122.00 / $15,623.60 / $31,751.30
| Facility | | $12,122.00 | $15,623.60 | $31,751.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,312.24 / $12,868.31 / $16,579.11
| Facility | | $12,312.24 | $12,868.31 | $16,579.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,606.37 / $14,548.83 / $16,633.07
| Facility | | $11,606.37 | $14,548.83 | $16,633.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,675.95 / $17,127.45 / $22,274.99
| Facility | | $9,675.95 | $17,127.45 | $22,274.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,159.08 / $14,798.56 / $15,292.96
| Facility | | $14,159.08 | $14,798.56 | $15,292.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $15,562.72 / $21,879.15
| Facility | | $1,518.00 | $15,562.72 | $21,879.15 |