- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,372.00 / $13,281.50 / $22,027.70
| Facility | | $8,372.00 | $13,281.50 | $22,027.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,127.48 / $10,677.39 / $18,087.72
| Facility | | $7,127.48 | $10,677.39 | $18,087.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,436.43 / $14,151.64 / $20,701.00
| Facility | | $11,436.43 | $14,151.64 | $20,701.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,787.00 / $14,207.38 / $31,871.28
| Facility | | $8,787.00 | $14,207.38 | $31,871.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,109.38 / $13,564.69 / $19,064.50
| Facility | | $7,109.38 | $13,564.69 | $19,064.50 |