- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,404.35 / $11,439.40 / $15,621.50
| Facility | | $6,404.35 | $11,439.40 | $15,621.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,021.96 / $12,426.00 / $18,192.00
| Facility | | $8,021.96 | $12,426.00 | $18,192.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,123.77 / $10,915.32 / $16,442.95
| Facility | | $6,123.77 | $10,915.32 | $16,442.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,529.66 / $11,529.66 / $14,000.30
| Facility | | $11,529.66 | $11,529.66 | $14,000.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,907.45 / $13,315.71 / $19,362.09
| Facility | | $8,907.45 | $13,315.71 | $19,362.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.89 / $11,439.40 / $15,459.20
| Facility | | $6,309.89 | $11,439.40 | $15,459.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,762.03 / $10,236.61 / $15,628.00
| Facility | | $5,762.03 | $10,236.61 | $15,628.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $5,746.85 / $7,809.03
| Facility | | $2,621.40 | $5,746.85 | $7,809.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,231.09 / $8,819.71 / $15,997.94
| Facility | | $4,231.09 | $8,819.71 | $15,997.94 |