- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $9,332.54 / $13,803.84
| Facility | | $7,079.46 | $9,332.54 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,762.47 / $7,762.47 / $14,454.40
| Facility | | $7,762.47 | $7,762.47 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $8,128.31 / $13,489.63
| Facility | | $5,128.61 | $8,128.31 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $10,715.19 / $15,135.61
| Facility | | $7,079.46 | $10,715.19 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,772.37 / $15,135.61
| Facility | | $6,760.83 | $9,772.37 | $15,135.61 |