- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,549.60 / $18,408.30 / $27,311.00
| Facility | | $13,549.60 | $18,408.30 | $27,311.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,082.91 / $15,082.91 / $15,082.91
| Facility | | $15,082.91 | $15,082.91 | $15,082.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,030.23 / $16,805.30 / $24,555.12
| Facility | | $11,030.23 | $16,805.30 | $24,555.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,820.31 / $16,318.64 / $29,536.00
| Facility | | $11,820.31 | $16,318.64 | $29,536.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $123.74 / $173.07 / $275.82
| Facility | | $123.74 | $173.07 | $275.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,019.47 / $18,018.43 / $29,654.14
| Facility | | $13,019.47 | $18,018.43 | $29,654.14 |