- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,303.45 / $12,639.50 / $18,681.00
| Facility | | $9,303.45 | $12,639.50 | $18,681.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,572.55 / $11,755.35 / $17,513.80
| Facility | | $7,572.55 | $11,755.35 | $17,513.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,116.06 / $11,204.70 / $20,280.00
| Facility | | $8,116.06 | $11,204.70 | $20,280.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.27 / $119.38 / $189.38
| Facility | | $86.27 | $119.38 | $189.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,939.42 / $12,371.81 / $20,361.12
| Facility | | $8,939.42 | $12,371.81 | $20,361.12 |