- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,757.01 / $10,617.20 / $12,241.00
| Facility | | $8,757.01 | $10,617.20 | $12,241.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,656.72 / $18,656.72 / $18,656.72
| Facility | | $18,656.72 | $18,656.72 | $18,656.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,485.00 / $5,462.00
| Facility | | $1,252.00 | $3,485.00 | $5,462.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,789.98 / $12,399.50 / $21,281.42
| Facility | | $7,789.98 | $12,399.50 | $21,281.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $12,066.41 / $18,737.59
| Facility | | $3,137.00 | $12,066.41 | $18,737.59 |