- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,292.10 / $8,082.13 / $20,172.00
| Facility | | $6,292.10 | $8,082.13 | $20,172.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,153.64 / $7,889.42 / $14,210.49
| Facility | | $5,153.64 | $7,889.42 | $14,210.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,007.14 / $8,611.66 / $12,986.00
| Facility | | $7,007.14 | $8,611.66 | $12,986.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,582.82 / $9,112.12 / $48,537.00
| Facility | | $6,582.82 | $9,112.12 | $48,537.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,326.25 / $9,099.66 / $56,441.00
| Facility | | $4,326.25 | $9,099.66 | $56,441.00 |