- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,307.30 / $18,307.30 / $21,697.70
| Facility | | $18,307.30 | $18,307.30 | $21,697.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,024.09 / $21,190.89 / $31,700.28
| Facility | | $13,024.09 | $21,190.89 | $31,700.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,973.08 / $18,532.36 / $31,530.66
| Facility | | $14,973.08 | $18,532.36 | $31,530.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,396.16 / $21,494.17 / $35,182.86
| Facility | | $13,396.16 | $21,494.17 | $35,182.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $191.59 / $12,091.84 / $17,953.00
| Facility | | $191.59 | $12,091.84 | $17,953.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,244.17 / $21,235.33 / $24,956.83
| Facility | | $15,244.17 | $21,235.33 | $24,956.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,757.86 / $22,650.58 / $28,552.90
| Facility | | $13,757.86 | $22,650.58 | $28,552.90 |