- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,520.79 / $14,384.50 / $25,312.60
| Facility | | $8,520.79 | $14,384.50 | $25,312.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,532.26 / $7,532.26 / $9,778.65
| Facility | | $7,532.26 | $7,532.26 | $9,778.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,983.32 / $19,320.34 / $31,215.34
| Facility | | $12,983.32 | $19,320.34 | $31,215.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,751.00 / $13,259.01 / $18,449.66
| Facility | | $7,751.00 | $13,259.01 | $18,449.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,911.50 / $28,911.50 / $33,930.10
| Facility | | $28,911.50 | $28,911.50 | $33,930.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $12,535.98 / $17,906.22
| Facility | | $1,787.00 | $12,535.98 | $17,906.22 |