- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $10,232.93 / $16,218.10
| Facility | | $7,413.10 | $10,232.93 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $8,709.64 / $13,489.63
| Facility | | $6,025.60 | $8,709.64 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $10,232.93 / $15,488.17
| Facility | | $6,918.31 | $10,232.93 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $8,317.64 / $14,454.40
| Facility | | $6,606.93 | $8,317.64 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,265.80 / $6,760.83 / $11,481.54
| Facility | | $4,265.80 | $6,760.83 | $11,481.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $10,964.78 / $15,488.17
| Facility | | $6,025.60 | $10,964.78 | $15,488.17 |