- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,629.09 / $11,723.30 / $17,961.00
| Facility | | $8,629.09 | $11,723.30 | $17,961.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,027.38 / $10,909.06 / $16,376.41
| Facility | | $7,027.38 | $10,909.06 | $16,376.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,527.76 / $10,392.53 / $18,810.00
| Facility | | $7,527.76 | $10,392.53 | $18,810.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.02 / $110.73 / $184.00
| Facility | | $80.02 | $110.73 | $184.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,291.45 / $11,475.04 / $18,885.24
| Facility | | $8,291.45 | $11,475.04 | $18,885.24 |