- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,540.26 / $13,500.50 / $21,891.80
| Facility | | $8,540.26 | $13,500.50 | $21,891.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,002.21 / $11,008.06 / $23,186.91
| Facility | | $9,002.21 | $11,008.06 | $23,186.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,592.03 / $19,705.98
| Facility | | $100.00 | $9,592.03 | $19,705.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,273.91 / $14,447.02 / $24,857.01
| Facility | | $9,273.91 | $14,447.02 | $24,857.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,037.70 / $17,479.40 / $20,513.56
| Facility | | $12,037.70 | $17,479.40 | $20,513.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,104.99 / $12,040.96 / $25,073.82
| Facility | | $8,104.99 | $12,040.96 | $25,073.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,991.00 / $22,460.87
| Facility | | $5,693.00 | $10,991.00 | $22,460.87 |