- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,944.14 / $7,266.16 / $11,388.90
| Facility | | $4,944.14 | $7,266.16 | $11,388.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,286.42 / $9,286.42 / $9,286.42
| Facility | | $9,286.42 | $9,286.42 | $9,286.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,490.33 / $12,070.27 / $15,474.70
| Facility | | $8,490.33 | $12,070.27 | $15,474.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,564.46 / $10,758.37 / $13,607.39
| Facility | | $5,564.46 | $10,758.37 | $13,607.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,944.14 / $7,432.02 / $11,884.10
| Facility | | $4,944.14 | $7,432.02 | $11,884.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,782.13 / $9,887.51 / $15,022.00
| Facility | | $5,782.13 | $9,887.51 | $15,022.00 |