- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,746.25 / $16,659.90 / $20,116.40
| Facility | | $8,746.25 | $16,659.90 | $20,116.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $15,043.55 / $25,803.14
| Facility | | $6,916.00 | $15,043.55 | $25,803.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,781.00 / $14,366.49 / $18,176.90
| Facility | | $11,781.00 | $14,366.49 | $18,176.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,777.11 / $11,274.40 / $15,512.10
| Facility | | $7,777.11 | $11,274.40 | $15,512.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,900.59 / $14,936.94 / $22,890.45
| Facility | | $8,900.59 | $14,936.94 | $22,890.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,785.10 / $13,686.51 / $16,145.61
| Facility | | $9,785.10 | $13,686.51 | $16,145.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $13,716.92 / $19,759.53
| Facility | | $3,775.00 | $13,716.92 | $19,759.53 |