- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $12,882.50 / $18,620.87
| Facility | | $7,413.10 | $12,882.50 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,182.57 / $20,892.96
| Facility | | $8,317.64 | $13,182.57 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $12,022.64 / $19,054.61
| Facility | | $6,606.93 | $12,022.64 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,803.84 / $13,803.84 / $16,982.44
| Facility | | $13,803.84 | $13,803.84 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $14,125.38 / $16,982.44
| Facility | | $6,025.60 | $14,125.38 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,456.54 / $6,456.54 / $22,387.21
| Facility | | $6,456.54 | $6,456.54 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $12,022.64 / $17,782.79
| Facility | | $7,079.46 | $12,022.64 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,897.79 / $5,754.40 / $7,943.28
| Facility | | $4,897.79 | $5,754.40 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,801.89 / $9,332.54 / $16,595.87
| Facility | | $3,801.89 | $9,332.54 | $16,595.87 |