- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,794.40 / $16,794.40 / $19,904.70
| Facility | | $16,794.40 | $16,794.40 | $19,904.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,494.84 / $21,956.83 / $32,846.08
| Facility | | $13,494.84 | $21,956.83 | $32,846.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,735.78 / $17,000.93 / $28,925.12
| Facility | | $13,735.78 | $17,000.93 | $28,925.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,289.17 / $19,718.00 / $32,275.52
| Facility | | $12,289.17 | $19,718.00 | $32,275.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $198.52 / $12,528.89 / $17,900.77
| Facility | | $198.52 | $12,528.89 | $17,900.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,984.47 / $19,480.54 / $22,894.52
| Facility | | $13,984.47 | $19,480.54 | $22,894.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,620.98 / $20,778.84 / $26,193.43
| Facility | | $12,620.98 | $20,778.84 | $26,193.43 |