- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,009.50 / $17,009.50 / $20,159.59
| Facility | | $17,009.50 | $17,009.50 | $20,159.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,288.54 / $19,994.12 / $29,909.98
| Facility | | $12,288.54 | $19,994.12 | $29,909.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,911.66 / $17,218.62 / $29,295.49
| Facility | | $13,911.66 | $17,218.62 | $29,295.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,446.52 / $19,970.48 / $32,688.79
| Facility | | $12,446.52 | $19,970.48 | $32,688.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $180.77 / $11,408.94 / $16,680.33
| Facility | | $180.77 | $11,408.94 | $16,680.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,163.53 / $19,729.98 / $23,187.67
| Facility | | $14,163.53 | $19,729.98 | $23,187.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,782.58 / $21,044.91 / $26,528.82
| Facility | | $12,782.58 | $21,044.91 | $26,528.82 |