- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.90 / $14,681.20 / $19,168.30
| Facility | | $7,079.90 | $14,681.20 | $19,168.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,233.75 / $35,901.08
| Facility | | $5,840.42 | $13,233.75 | $35,901.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,295.34 / $13,716.53 / $20,725.84
| Facility | | $8,295.34 | $13,716.53 | $20,725.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,478.89 / $19,478.89 / $19,478.89
| Facility | | $19,478.89 | $19,478.89 | $19,478.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,951.97 / $13,818.17 / $21,338.50
| Facility | | $11,951.97 | $13,818.17 | $21,338.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $13,233.75 / $35,901.08
| Facility | | $5,840.42 | $13,233.75 | $35,901.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $10,426.45 / $28,057.01
| Facility | | $5,840.42 | $10,426.45 | $28,057.01 |