- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,854.40 / $21,539.50 / $32,819.00
| Facility | | $15,854.40 | $21,539.50 | $32,819.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,761.02 / $19,435.64 / $28,728.00
| Facility | | $12,761.02 | $19,435.64 | $28,728.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,830.91 / $19,094.40 / $34,560.00
| Facility | | $13,830.91 | $19,094.40 | $34,560.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $138.07 / $197.11 / $322.74
| Facility | | $138.07 | $197.11 | $322.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,234.05 / $21,083.33 / $34,698.24
| Facility | | $15,234.05 | $21,083.33 | $34,698.24 |