- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,617.42 / $12,023.30 / $19,961.40
| Facility | | $7,617.42 | $12,023.30 | $19,961.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,976.00 / $11,236.75 / $15,606.31
| Facility | | $5,976.00 | $11,236.75 | $15,606.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,249.89 / $11,098.43 / $18,757.98
| Facility | | $7,249.89 | $11,098.43 | $18,757.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,363.66 / $13,142.70 / $22,953.85
| Facility | | $10,363.66 | $13,142.70 | $22,953.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,442.50 / $12,874.69 / $32,418.64
| Facility | | $6,442.50 | $12,874.69 | $32,418.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,442.50 / $12,292.29 / $17,276.21
| Facility | | $6,442.50 | $12,292.29 | $17,276.21 |