- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,705.23 / $8,642.12 / $17,563.09
| Facility | | $6,705.23 | $8,642.12 | $17,563.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,687.30 / $9,410.23 / $11,731.49
| Facility | | $6,687.30 | $9,410.23 | $11,731.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,651.99 / $8,338.41 / $9,532.95
| Facility | | $6,651.99 | $8,338.41 | $9,532.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,352.20 / $9,473.95 / $12,321.30
| Facility | | $5,352.20 | $9,473.95 | $12,321.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,690.40 / $10,810.15 / $13,491.21
| Facility | | $7,690.40 | $10,810.15 | $13,491.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,597.88 / $11,700.93
| Facility | | $1,286.00 | $7,597.88 | $11,700.93 |