- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,350.80 / $14,350.80 / $17,008.50
| Facility | | $14,350.80 | $14,350.80 | $17,008.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,014.34 / $16,293.87 / $24,374.63
| Facility | | $10,014.34 | $16,293.87 | $24,374.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,737.16 / $14,527.21 / $24,716.37
| Facility | | $11,737.16 | $14,527.21 | $24,716.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,501.03 / $16,848.93 / $27,579.27
| Facility | | $10,501.03 | $16,848.93 | $27,579.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.32 / $9,297.52 / $14,073.06
| Facility | | $147.32 | $9,297.52 | $14,073.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,949.66 / $16,646.03 / $19,563.25
| Facility | | $11,949.66 | $16,646.03 | $19,563.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,497.30 / $18,084.93 / $23,807.88
| Facility | | $10,497.30 | $18,084.93 | $23,807.88 |