- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,511.51 / $8,511.51 / $10,087.79
| Facility | | $8,511.51 | $8,511.51 | $10,087.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,979.18 / $9,728.45 / $14,553.17
| Facility | | $5,979.18 | $9,728.45 | $14,553.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,961.36 / $8,616.16 / $14,659.40
| Facility | | $6,961.36 | $8,616.16 | $14,659.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,228.21 / $9,993.18 / $16,357.40
| Facility | | $6,228.21 | $9,993.18 | $16,357.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.96 / $5,551.20 / $8,346.79
| Facility | | $87.96 | $5,551.20 | $8,346.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,087.40 / $9,872.84 / $11,603.06
| Facility | | $7,087.40 | $9,872.84 | $11,603.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,396.38 / $10,530.83 / $13,274.96
| Facility | | $6,396.38 | $10,530.83 | $13,274.96 |