- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,243.81 / $12,558.50 / $18,704.00
| Facility | | $9,243.81 | $12,558.50 | $18,704.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,349.61 / $10,349.61 / $14,546.98
| Facility | | $10,349.61 | $10,349.61 | $14,546.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,318.80 / $11,639.71 / $17,316.00
| Facility | | $7,318.80 | $11,639.71 | $17,316.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,064.03 / $11,132.88 / $20,150.00
| Facility | | $8,064.03 | $11,132.88 | $20,150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.72 / $118.62 / $188.17
| Facility | | $85.72 | $118.62 | $188.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,882.12 / $12,292.51 / $20,230.59
| Facility | | $8,882.12 | $12,292.51 | $20,230.59 |