- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,807.90 / $13,807.90 / $16,365.10
| Facility | | $13,807.90 | $13,807.90 | $16,365.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,056.84 / $16,363.01 / $24,478.07
| Facility | | $10,056.84 | $16,363.01 | $24,478.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,293.15 / $13,977.67 / $23,781.38
| Facility | | $11,293.15 | $13,977.67 | $23,781.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,103.79 / $16,211.56 / $26,535.98
| Facility | | $10,103.79 | $16,211.56 | $26,535.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.94 / $9,336.98 / $13,540.70
| Facility | | $147.94 | $9,336.98 | $13,540.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,497.62 / $16,016.33 / $18,823.20
| Facility | | $11,497.62 | $16,016.33 | $18,823.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,376.60 / $17,083.75 / $21,535.46
| Facility | | $10,376.60 | $17,083.75 | $21,535.46 |