- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,337.50 / $15,403.00 / $22,317.00
| Facility | | $11,337.50 | $15,403.00 | $22,317.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,974.24 / $14,234.06 / $20,625.13
| Facility | | $8,974.24 | $14,234.06 | $20,625.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,890.54 / $13,654.49 / $24,714.00
| Facility | | $9,890.54 | $13,654.49 | $24,714.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.83 / $141.63 / $225.73
| Facility | | $102.83 | $141.63 | $225.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,893.93 / $15,076.78 / $24,812.86
| Facility | | $10,893.93 | $15,076.78 | $24,812.86 |