- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,566.30 / $11,960.80 / $19,395.09
| Facility | | $7,566.30 | $11,960.80 | $19,395.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,999.09 / $9,781.42 / $22,516.78
| Facility | | $7,999.09 | $9,781.42 | $22,516.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $9,106.68 / $18,028.31
| Facility | | $100.00 | $9,106.68 | $18,028.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,112.32 / $13,056.79 / $22,214.30
| Facility | | $9,112.32 | $13,056.79 | $22,214.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,696.32 / $15,531.65 / $18,227.71
| Facility | | $10,696.32 | $15,531.65 | $18,227.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,261.14 / $11,893.66 / $23,123.21
| Facility | | $7,261.14 | $11,893.66 | $23,123.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,693.00 / $10,583.65 / $19,899.34
| Facility | | $5,693.00 | $10,583.65 | $19,899.34 |