- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $11,220.18 / $14,125.38
| Facility | | $7,943.28 | $11,220.18 | $14,125.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $9,772.37 / $13,489.63
| Facility | | $6,760.83 | $9,772.37 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $11,748.98 / $16,218.10
| Facility | | $6,165.95 | $11,748.98 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $10,715.19 / $13,182.57
| Facility | | $6,760.83 | $10,715.19 | $13,182.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $11,748.98 / $16,218.10
| Facility | | $6,165.95 | $11,748.98 | $16,218.10 |