- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,318.67 / $14,199.70 / $23,080.40
| Facility | | $8,318.67 | $14,199.70 | $23,080.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,913.69 / $12,968.26 / $18,554.08
| Facility | | $9,913.69 | $12,968.26 | $18,554.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,176.13 / $11,282.33 / $17,798.96
| Facility | | $7,176.13 | $11,282.33 | $17,798.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,042.60 / $14,282.21 / $27,025.81
| Facility | | $7,042.60 | $14,282.21 | $27,025.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,164.00 / $11,948.64 / $16,227.20
| Facility | | $6,164.00 | $11,948.64 | $16,227.20 |