- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,488.20 / $8,003.62 / $12,992.40
| Facility | | $5,488.20 | $8,003.62 | $12,992.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,906.19 / $14,083.13 / $18,055.30
| Facility | | $9,906.19 | $14,083.13 | $18,055.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,444.44 / $12,459.71 / $15,759.28
| Facility | | $6,444.44 | $12,459.71 | $15,759.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,726.02 / $8,607.33 / $13,763.50
| Facility | | $5,726.02 | $8,607.33 | $13,763.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,696.52 / $11,451.13 / $17,397.59
| Facility | | $6,696.52 | $11,451.13 | $17,397.59 |