- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $17,782.79 / $18,620.87
| Facility | | $15,135.61 | $17,782.79 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $19,054.61 / $27,542.29
| Facility | | $10,964.78 | $19,054.61 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $15,848.93 / $28,183.83
| Facility | | $11,481.54 | $15,848.93 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,182.57 / $15,135.61 / $19,054.61
| Facility | | $13,182.57 | $15,135.61 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $17,782.79 / $28,840.32
| Facility | | $10,964.78 | $17,782.79 | $28,840.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $125.89 / $11,481.54 / $14,791.08
| Facility | | $125.89 | $11,481.54 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,595.87 / $20,417.38 / $21,379.62
| Facility | | $16,595.87 | $20,417.38 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $19,054.61 / $25,703.96
| Facility | | $11,220.18 | $19,054.61 | $25,703.96 |