- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,197.56 / $9,601.79 / $15,941.30
| Facility | | $6,197.56 | $9,601.79 | $15,941.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,962.52 / $8,932.20 / $15,131.34
| Facility | | $5,962.52 | $8,932.20 | $15,131.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,276.45 / $10,251.00 / $15,120.00
| Facility | | $8,276.45 | $10,251.00 | $15,120.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,145.00 / $10,281.77 / $26,662.03
| Facility | | $5,145.00 | $10,281.77 | $26,662.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,145.00 / $9,714.58 / $13,796.83
| Facility | | $5,145.00 | $9,714.58 | $13,796.83 |