- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,579.04 / $15,136.40 / $25,130.00
| Facility | | $9,579.04 | $15,136.40 | $25,130.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,028.41 / $15,023.15 / $25,449.53
| Facility | | $10,028.41 | $15,023.15 | $25,449.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,047.08 / $16,144.69 / $23,431.00
| Facility | | $13,047.08 | $16,144.69 | $23,431.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,110.63 / $16,208.27 / $44,843.09
| Facility | | $8,110.63 | $16,208.27 | $44,843.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,110.63 / $15,475.07 / $21,749.45
| Facility | | $8,110.63 | $15,475.07 | $21,749.45 |