- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,373.30 / $15,373.30 / $18,220.50
| Facility | | $15,373.30 | $15,373.30 | $18,220.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,110.58 / $18,077.50 / $27,042.85
| Facility | | $11,110.58 | $18,077.50 | $27,042.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,573.50 / $15,562.37 / $26,477.57
| Facility | | $12,573.50 | $15,562.37 | $26,477.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,249.30 / $18,049.52 / $29,544.47
| Facility | | $11,249.30 | $18,049.52 | $29,544.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.44 / $10,315.29 / $15,075.86
| Facility | | $163.44 | $10,315.29 | $15,075.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,801.15 / $17,832.16 / $20,957.25
| Facility | | $12,801.15 | $17,832.16 | $20,957.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,553.03 / $19,020.61 / $23,977.02
| Facility | | $11,553.03 | $19,020.61 | $23,977.02 |