- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,709.64 / $15,488.17 / $25,703.96
| Facility | | $8,709.64 | $15,488.17 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,791.08 / $21,877.62 / $30,902.95
| Facility | | $14,791.08 | $21,877.62 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.38 / $15,135.61 / $22,908.68
| Facility | | $8,511.38 | $15,135.61 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $16,218.10 / $19,952.62
| Facility | | $16,218.10 | $16,218.10 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,128.31 / $15,848.93 / $19,952.62
| Facility | | $8,128.31 | $15,848.93 | $19,952.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,488.17 / $15,488.17 / $15,488.17
| Facility | | $15,488.17 | $15,488.17 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $15,135.61 / $25,703.96
| Facility | | $8,317.64 | $15,135.61 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $8,912.51 / $14,454.40
| Facility | | $7,079.46 | $8,912.51 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $11,748.98 / $20,892.96
| Facility | | $4,265.80 | $11,748.98 | $20,892.96 |