- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,580.31 / $8,939.90 / $14,027.00
| Facility | | $6,580.31 | $8,939.90 | $14,027.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,354.55 / $8,332.12 / $13,440.16
| Facility | | $5,354.55 | $8,332.12 | $13,440.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,740.47 / $7,925.06 / $14,344.00
| Facility | | $5,740.47 | $7,925.06 | $14,344.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.02 / $88.64 / $142.79
| Facility | | $61.02 | $88.64 | $142.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,322.84 / $8,750.56 / $14,401.38
| Facility | | $6,322.84 | $8,750.56 | $14,401.38 |