- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,279.77 / $9,170.33 / $12,053.00
| Facility | | $6,279.77 | $9,170.33 | $12,053.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.18 / $13,034.59 / $22,046.25
| Facility | | $4,786.18 | $13,034.59 | $22,046.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,675.97 / $9,211.08 / $15,417.27
| Facility | | $6,675.97 | $9,211.08 | $15,417.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,899.10 / $10,279.69 / $15,009.19
| Facility | | $7,899.10 | $10,279.69 | $15,009.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,899.10 / $9,556.34 / $15,009.19
| Facility | | $7,899.10 | $9,556.34 | $15,009.19 |