- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,614.60 / $16,298.50 / $22,631.00
| Facility | | $11,614.60 | $16,298.50 | $22,631.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,338.09 / $9,338.09 / $15,965.80
| Facility | | $9,338.09 | $9,338.09 | $15,965.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,454.48 / $14,574.35 / $21,162.52
| Facility | | $9,454.48 | $14,574.35 | $21,162.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,132.26 / $13,988.20 / $25,318.00
| Facility | | $10,132.26 | $13,988.20 | $25,318.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.70 / $148.35 / $236.43
| Facility | | $107.70 | $148.35 | $236.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,160.17 / $15,445.25 / $25,419.27
| Facility | | $11,160.17 | $15,445.25 | $25,419.27 |