- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,934.03 / $11,586.00 / $15,228.10
| Facility | | $7,934.03 | $11,586.00 | $15,228.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,748.98 / $9,748.98 / $9,748.98
| Facility | | $9,748.98 | $9,748.98 | $9,748.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,056.35 / $13,770.37 / $23,290.73
| Facility | | $5,056.35 | $13,770.37 | $23,290.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,059.89 / $11,637.54 / $19,478.61
| Facility | | $8,059.89 | $11,637.54 | $19,478.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,979.94 / $12,987.65 / $18,963.02
| Facility | | $9,979.94 | $12,987.65 | $18,963.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,979.94 / $12,073.75 / $18,963.02
| Facility | | $9,979.94 | $12,073.75 | $18,963.02 |