- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,242.00 / $7,137.00 / $31,438.00
| Facility | | $5,242.00 | $7,137.00 | $31,438.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,458.27 / $23,130.01 / $28,911.39
| Facility | | $16,458.27 | $23,130.01 | $28,911.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,862.60 / $19,720.27 / $27,069.60
| Facility | | $10,862.60 | $19,720.27 | $27,069.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,136.28 / $20,013.68 / $21,993.92
| Facility | | $13,136.28 | $20,013.68 | $21,993.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,065.00 / $25,749.02 / $45,615.16
| Facility | | $20,065.00 | $25,749.02 | $45,615.16 |