- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,585.04 / $11,663.50 / $17,604.00
| Facility | | $8,585.04 | $11,663.50 | $17,604.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,051.58 / $13,051.58 / $13,051.58
| Facility | | $13,051.58 | $13,051.58 | $13,051.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,990.04 / $10,851.09 / $16,289.39
| Facility | | $6,990.04 | $10,851.09 | $16,289.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,489.34 / $10,339.49 / $18,714.00
| Facility | | $7,489.34 | $10,339.49 | $18,714.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.61 / $110.16 / $184.00
| Facility | | $79.61 | $110.16 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,249.12 / $11,416.48 / $18,788.86
| Facility | | $8,249.12 | $11,416.48 | $18,788.86 |