- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,092.51 / $8,486.40 / $11,080.20
| Facility | | $4,092.51 | $8,486.40 | $11,080.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,510.72 / $7,749.82 / $20,752.50
| Facility | | $5,510.72 | $7,749.82 | $20,752.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,795.10 / $7,928.80 / $11,980.51
| Facility | | $4,795.10 | $7,928.80 | $11,980.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,259.71 / $11,259.71 / $11,259.71
| Facility | | $11,259.71 | $11,259.71 | $11,259.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,908.80 / $7,987.55 / $12,334.66
| Facility | | $6,908.80 | $7,987.55 | $12,334.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,510.72 / $7,749.82 / $20,752.50
| Facility | | $5,510.72 | $7,749.82 | $20,752.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,510.72 / $7,649.73 / $16,218.27
| Facility | | $5,510.72 | $7,649.73 | $16,218.27 |