- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,570.30 / $15,570.30 / $18,453.90
| Facility | | $15,570.30 | $15,570.30 | $18,453.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,186.86 / $18,201.61 / $27,228.51
| Facility | | $11,186.86 | $18,201.61 | $27,228.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,734.62 / $15,761.79 / $26,816.86
| Facility | | $12,734.62 | $15,761.79 | $26,816.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,393.45 / $18,280.82 / $29,923.06
| Facility | | $11,393.45 | $18,280.82 | $29,923.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $164.56 / $10,386.11 / $15,269.04
| Facility | | $164.56 | $10,386.11 | $15,269.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,965.19 / $18,060.66 / $21,225.81
| Facility | | $12,965.19 | $18,060.66 | $21,225.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,868.59 / $19,121.77 / $24,284.27
| Facility | | $10,868.59 | $19,121.77 | $24,284.27 |