- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,881.54 / $15,160.50 / $24,642.10
| Facility | | $8,881.54 | $15,160.50 | $24,642.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,687.00 / $11,177.00 / $21,667.01
| Facility | | $9,687.00 | $11,177.00 | $21,667.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,661.70 / $12,045.74 / $19,003.33
| Facility | | $7,661.70 | $12,045.74 | $19,003.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,675.52 / $17,077.16 / $34,776.11
| Facility | | $7,675.52 | $17,077.16 | $34,776.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,982.00 / $12,573.11 / $17,460.50
| Facility | | $5,982.00 | $12,573.11 | $17,460.50 |