- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,738.80 / $15,738.80 / $18,653.59
| Facility | | $15,738.80 | $15,738.80 | $18,653.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,371.76 / $16,875.41 / $25,244.59
| Facility | | $10,371.76 | $16,875.41 | $25,244.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,872.37 / $15,932.29 / $27,106.94
| Facility | | $12,872.37 | $15,932.29 | $27,106.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,516.69 / $18,478.56 / $30,246.74
| Facility | | $11,516.69 | $18,478.56 | $30,246.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $152.57 / $9,629.36 / $15,257.35
| Facility | | $152.57 | $9,629.36 | $15,257.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,105.43 / $18,256.03 / $21,455.42
| Facility | | $13,105.43 | $18,256.03 | $21,455.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,512.60 / $19,834.12 / $26,110.58
| Facility | | $11,512.60 | $19,834.12 | $26,110.58 |