- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,257.50 / $15,878.40 / $17,968.90
| Facility | | $10,257.50 | $15,878.40 | $17,968.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,405.90 / $15,738.62 / $21,256.20
| Facility | | $10,405.90 | $15,738.62 | $21,256.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,472.03 / $14,117.00 / $19,918.29
| Facility | | $9,472.03 | $14,117.00 | $19,918.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,237.00 / $15,670.00 / $20,307.00
| Facility | | $10,237.00 | $15,670.00 | $20,307.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $16,755.70 / $24,365.15
| Facility | | $5,274.00 | $16,755.70 | $24,365.15 |