- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $18,620.87 / $19,498.45
| Facility | | $15,488.17 | $18,620.87 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,952.62 / $28,840.32
| Facility | | $11,481.54 | $19,952.62 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $16,218.10 / $29,512.09
| Facility | | $12,022.64 | $16,218.10 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $15,488.17 / $19,952.62
| Facility | | $13,803.84 | $15,488.17 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $18,197.01 / $30,199.52
| Facility | | $11,481.54 | $18,197.01 | $30,199.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $131.83 / $11,748.98 / $15,488.17
| Facility | | $131.83 | $11,748.98 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $21,379.62 / $22,387.21
| Facility | | $16,982.44 | $21,379.62 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $19,952.62 / $26,915.35
| Facility | | $11,481.54 | $19,952.62 | $26,915.35 |