- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,491.32 / $11,099.60 / $20,045.09
| Facility | | $7,491.32 | $11,099.60 | $20,045.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,532.34 / $9,349.36 / $15,613.56
| Facility | | $6,532.34 | $9,349.36 | $15,613.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $10,996.97 / $19,711.50
| Facility | | $5,843.91 | $10,996.97 | $19,711.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,296.12 / $14,086.71 / $24,768.00
| Facility | | $8,296.12 | $14,086.71 | $24,768.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $13,049.06 / $23,769.00
| Facility | | $3,496.00 | $13,049.06 | $23,769.00 |