- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,489.54 / $12,643.60 / $22,249.10
| Facility | | $7,489.54 | $12,643.60 | $22,249.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,730.00 / $10,581.00 / $14,962.96
| Facility | | $5,730.00 | $10,581.00 | $14,962.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,124.85 / $7,582.96 / $12,544.29
| Facility | | $5,124.85 | $7,582.96 | $12,544.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,812.91 / $11,654.30 / $16,475.18
| Facility | | $6,812.91 | $11,654.30 | $16,475.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,305.80 / $24,305.80 / $28,524.92
| Facility | | $24,305.80 | $24,305.80 | $28,524.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $11,018.78 / $15,739.06
| Facility | | $1,787.00 | $11,018.78 | $15,739.06 |