- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,700.14 / $10,037.90 / $16,648.09
| Facility | | $7,700.14 | $10,037.90 | $16,648.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,778.00 / $3,778.00 / $3,778.00
| Facility | | $3,778.00 | $3,778.00 | $3,778.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,643.41 / $9,952.21 / $16,859.28
| Facility | | $6,643.41 | $9,952.21 | $16,859.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,643.42 / $10,961.18 / $16,615.00
| Facility | | $8,643.42 | $10,961.18 | $16,615.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,373.13 / $10,274.27 / $29,706.72
| Facility | | $5,373.13 | $10,274.27 | $29,706.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,373.13 / $10,251.92 / $14,408.57
| Facility | | $5,373.13 | $10,251.92 | $14,408.57 |