- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,862.69 / $12,942.20 / $17,010.40
| Facility | | $8,862.69 | $12,942.20 | $17,010.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,520.05 / $8,771.06 / $10,595.60
| Facility | | $7,520.05 | $8,771.06 | $10,595.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,856.54 / $13,226.20 / $22,370.33
| Facility | | $4,856.54 | $13,226.20 | $22,370.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,353.04 / $12,381.40 / $21,758.51
| Facility | | $8,353.04 | $12,381.40 | $21,758.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,148.05 / $14,507.81 / $21,182.58
| Facility | | $11,148.05 | $14,507.81 | $21,182.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,148.05 / $13,486.94 / $21,182.58
| Facility | | $11,148.05 | $13,486.94 | $21,182.58 |