- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $11,201.90 / $18,294.59
| Facility | | $6,303.00 | $11,201.90 | $18,294.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,795.08 / $20,348.32 / $27,303.05
| Facility | | $14,795.08 | $20,348.32 | $27,303.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,121.98 / $16,646.70 / $23,335.94
| Facility | | $12,121.98 | $16,646.70 | $23,335.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,553.28 / $18,488.03 / $23,307.36
| Facility | | $10,553.28 | $18,488.03 | $23,307.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,553.28 / $18,641.93 / $24,445.13
| Facility | | $10,553.28 | $18,641.93 | $24,445.13 |