- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,423.59 / $12,401.00 / $19,967.30
| Facility | | $5,423.59 | $12,401.00 | $19,967.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,832.57 / $18,419.72
| Facility | | $1,474.01 | $6,832.57 | $18,419.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,976.76 / $12,966.08 / $18,368.02
| Facility | | $8,976.76 | $12,966.08 | $18,368.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,846.67 / $10,875.01 / $22,838.87
| Facility | | $7,846.67 | $10,875.01 | $22,838.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,367.21 / $11,065.79 / $23,133.76
| Facility | | $7,367.21 | $11,065.79 | $23,133.76 |