- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,901.20 / $15,901.20 / $18,846.00
| Facility | | $15,901.20 | $15,901.20 | $18,846.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,239.91 / $16,660.88 / $24,923.66
| Facility | | $10,239.91 | $16,660.88 | $24,923.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,005.21 / $16,096.69 / $27,386.66
| Facility | | $13,005.21 | $16,096.69 | $27,386.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,635.53 / $18,669.24 / $30,558.86
| Facility | | $11,635.53 | $18,669.24 | $30,558.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.63 / $9,506.94 / $15,063.39
| Facility | | $150.63 | $9,506.94 | $15,063.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,240.67 / $18,444.41 / $21,676.82
| Facility | | $13,240.67 | $18,444.41 | $21,676.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,949.70 / $19,673.66 / $24,800.26
| Facility | | $11,949.70 | $19,673.66 | $24,800.26 |