- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $15,135.61 / $17,378.01
| Facility | | $9,772.37 | $15,135.61 | $17,378.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $16,218.10 / $21,877.62
| Facility | | $10,964.78 | $16,218.10 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $14,125.38 / $19,498.45
| Facility | | $9,120.11 | $14,125.38 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,964.78 / $15,488.17 / $20,417.38
| Facility | | $10,964.78 | $15,488.17 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $14,454.40 / $23,442.29
| Facility | | $4,073.80 | $14,454.40 | $23,442.29 |