- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,755.70 / $11,895.30 / $18,170.00
| Facility | | $8,755.70 | $11,895.30 | $18,170.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,045.14 / $11,059.76 / $16,602.65
| Facility | | $7,045.14 | $11,059.76 | $16,602.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,596.23 / $10,181.43 / $19,086.00
| Facility | | $7,596.23 | $10,181.43 | $19,086.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.19 / $112.35 / $184.00
| Facility | | $81.19 | $112.35 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,770.96 / $12,091.94 / $17,827.28
| Facility | | $8,770.96 | $12,091.94 | $17,827.28 |