- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,571.21 / $10,286.10 / $16,196.20
| Facility | | $7,571.21 | $10,286.10 | $16,196.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,161.10 / $9,564.26 / $14,917.50
| Facility | | $6,161.10 | $9,564.26 | $14,917.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,604.90 / $9,264.52 / $17,490.00
| Facility | | $6,604.90 | $9,264.52 | $17,490.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.71 / $94.47 / $149.09
| Facility | | $63.71 | $94.47 | $149.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,584.41 / $10,456.11 / $15,415.56
| Facility | | $7,584.41 | $10,456.11 | $15,415.56 |