- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,020.00 / $17,181.30 / $20,746.00
| Facility | | $9,020.00 | $17,181.30 | $20,746.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,916.00 / $15,514.40 / $26,630.65
| Facility | | $6,916.00 | $15,514.40 | $26,630.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,163.88 / $14,877.88 / $18,752.09
| Facility | | $13,163.88 | $14,877.88 | $18,752.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,198.37 / $13,228.98 / $59,999.40
| Facility | | $9,198.37 | $13,228.98 | $59,999.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,824.75 / $15,851.12 / $24,712.95
| Facility | | $8,824.75 | $15,851.12 | $24,712.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,407.54 / $14,126.96 / $17,349.28
| Facility | | $10,407.54 | $14,126.96 | $17,349.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,775.00 / $14,146.25 / $20,377.98
| Facility | | $3,775.00 | $14,146.25 | $20,377.98 |