- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,033.59 / $18,033.59 / $21,373.30
| Facility | | $18,033.59 | $18,033.59 | $21,373.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,591.48 / $20,487.00 / $30,647.32
| Facility | | $12,591.48 | $20,487.00 | $30,647.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,749.24 / $18,255.30 / $31,059.28
| Facility | | $14,749.24 | $18,255.30 | $31,059.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,195.89 / $21,172.84 / $34,656.87
| Facility | | $13,195.89 | $21,172.84 | $34,656.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $185.23 / $11,690.19 / $17,684.59
| Facility | | $185.23 | $11,690.19 | $17,684.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,016.27 / $20,917.86 / $24,583.73
| Facility | | $15,016.27 | $20,917.86 | $24,583.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,552.18 / $22,311.96 / $28,126.04
| Facility | | $13,552.18 | $22,311.96 | $28,126.04 |