- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $18,197.01 / $19,054.61
| Facility | | $15,488.17 | $18,197.01 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $19,498.45 / $28,183.83
| Facility | | $11,220.18 | $19,498.45 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,748.98 / $16,218.10 / $28,840.32
| Facility | | $11,748.98 | $16,218.10 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,489.63 / $15,488.17 / $19,498.45
| Facility | | $13,489.63 | $15,488.17 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $18,197.01 / $29,512.09
| Facility | | $11,220.18 | $18,197.01 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $128.82 / $11,748.98 / $15,135.61
| Facility | | $128.82 | $11,748.98 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,982.44 / $20,892.96 / $21,877.62
| Facility | | $16,982.44 | $20,892.96 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $19,498.45 / $26,302.68
| Facility | | $11,220.18 | $19,498.45 | $26,302.68 |