- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,390.04 / $13,250.60 / $17,300.59
| Facility | | $6,390.04 | $13,250.60 | $17,300.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,944.26 / $32,402.91
| Facility | | $5,840.42 | $11,944.26 | $32,402.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,487.05 / $12,380.01 / $18,706.34
| Facility | | $7,487.05 | $12,380.01 | $18,706.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,580.88 / $17,580.88 / $17,580.88
| Facility | | $17,580.88 | $17,580.88 | $17,580.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,787.38 / $12,471.74 / $19,259.30
| Facility | | $10,787.38 | $12,471.74 | $19,259.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $11,944.26 / $32,402.91
| Facility | | $5,840.42 | $11,944.26 | $32,402.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $9,750.00 / $25,323.16
| Facility | | $5,840.42 | $9,750.00 | $25,323.16 |