- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,170.30 / $13,170.30 / $15,609.40
| Facility | | $13,170.30 | $13,170.30 | $15,609.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,686.34 / $15,760.19 / $23,576.29
| Facility | | $9,686.34 | $15,760.19 | $23,576.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,771.67 / $13,332.22 / $22,683.22
| Facility | | $10,771.67 | $13,332.22 | $22,683.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,637.21 / $15,462.95 / $25,310.62
| Facility | | $9,637.21 | $15,462.95 | $25,310.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $142.49 / $8,993.00 / $12,915.42
| Facility | | $142.49 | $8,993.00 | $12,915.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,966.69 / $15,276.74 / $17,954.00
| Facility | | $10,966.69 | $15,276.74 | $17,954.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,897.43 / $16,294.87 / $20,541.00
| Facility | | $9,897.43 | $16,294.87 | $20,541.00 |