- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,871.70 / $21,236.00 / $32,373.20
| Facility | | $10,871.70 | $21,236.00 | $32,373.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,167.27 / $15,014.79 / $23,326.53
| Facility | | $9,167.27 | $15,014.79 | $23,326.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,977.58 / $12,977.58 / $12,977.58
| Facility | | $12,977.58 | $12,977.58 | $12,977.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,117.00 / $19,405.41 / $43,271.11
| Facility | | $7,117.00 | $19,405.41 | $43,271.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $18,982.66 / $38,452.96
| Facility | | $3,308.00 | $18,982.66 | $38,452.96 |