- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,459.10 / $15,459.10 / $18,322.00
| Facility | | $15,459.10 | $15,459.10 | $18,322.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,560.62 / $18,809.75 / $28,138.25
| Facility | | $11,560.62 | $18,809.75 | $28,138.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,643.61 / $15,649.14 / $26,625.20
| Facility | | $12,643.61 | $15,649.14 | $26,625.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,312.02 / $18,150.16 / $29,709.20
| Facility | | $11,312.02 | $18,150.16 | $29,709.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $170.06 / $10,733.13 / $15,335.05
| Facility | | $170.06 | $10,733.13 | $15,335.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,872.52 / $17,931.59 / $21,074.11
| Facility | | $12,872.52 | $17,931.59 | $21,074.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,617.45 / $19,126.66 / $24,110.71
| Facility | | $11,617.45 | $19,126.66 | $24,110.71 |