- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,263.60 / $15,263.60 / $18,090.30
| Facility | | $15,263.60 | $15,263.60 | $18,090.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,113.85 / $18,082.82 / $27,050.80
| Facility | | $11,113.85 | $18,082.82 | $27,050.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,483.72 / $15,451.24 / $26,288.50
| Facility | | $12,483.72 | $15,451.24 | $26,288.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,168.97 / $17,920.64 / $29,333.50
| Facility | | $11,168.97 | $17,920.64 | $29,333.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $163.49 / $10,318.33 / $14,968.21
| Facility | | $163.49 | $10,318.33 | $14,968.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,709.74 / $17,704.83 / $20,807.61
| Facility | | $12,709.74 | $17,704.83 | $20,807.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,165.00 / $19,235.27 / $25,322.22
| Facility | | $11,165.00 | $19,235.27 | $25,322.22 |