- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,448.59 / $17,448.59 / $20,680.00
| Facility | | $17,448.59 | $17,448.59 | $20,680.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,752.75 / $20,749.41 / $31,039.86
| Facility | | $12,752.75 | $20,749.41 | $31,039.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,270.80 / $17,663.13 / $30,051.77
| Facility | | $14,270.80 | $17,663.13 | $30,051.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,767.84 / $20,486.02 / $33,532.67
| Facility | | $12,767.84 | $20,486.02 | $33,532.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $187.60 / $11,839.93 / $17,110.93
| Facility | | $187.60 | $11,839.93 | $17,110.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,529.17 / $20,239.32 / $23,786.28
| Facility | | $14,529.17 | $20,239.32 | $23,786.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,112.57 / $21,588.19 / $27,213.68
| Facility | | $13,112.57 | $21,588.19 | $27,213.68 |