- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,069.00 / $12,933.50 / $21,734.00
| Facility | | $10,069.00 | $12,933.50 | $21,734.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,808.00 / $11,108.23 / $16,553.84
| Facility | | $4,808.00 | $11,108.23 | $16,553.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,810.46 / $11,956.58 / $19,958.40
| Facility | | $7,810.46 | $11,956.58 | $19,958.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,136.82 / $13,780.90 / $19,906.00
| Facility | | $11,136.82 | $13,780.90 | $19,906.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,923.13 / $13,891.67 / $22,178.37
| Facility | | $6,923.13 | $13,891.67 | $22,178.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,923.13 / $13,209.32 / $18,565.05
| Facility | | $6,923.13 | $13,209.32 | $18,565.05 |