- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,973.70 / $15,432.40 / $31,362.80
| Facility | | $11,973.70 | $15,432.40 | $31,362.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,138.30 / $17,164.47 / $19,027.02
| Facility | | $13,138.30 | $17,164.47 | $19,027.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,595.72 / $14,535.48 / $16,617.81
| Facility | | $11,595.72 | $14,535.48 | $16,617.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,557.54 / $16,917.86 / $22,002.41
| Facility | | $9,557.54 | $16,917.86 | $22,002.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,109.05 / $19,739.14 / $21,881.07
| Facility | | $15,109.05 | $19,739.14 | $21,881.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $13,567.71 / $20,894.59
| Facility | | $1,286.00 | $13,567.71 | $20,894.59 |