- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,333.11 / $13,629.10 / $17,913.40
| Facility | | $9,333.11 | $13,629.10 | $17,913.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,078.71 / $10,345.16 / $16,988.82
| Facility | | $8,078.71 | $10,345.16 | $16,988.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,428.80 / $17,508.04 / $29,612.50
| Facility | | $6,428.80 | $17,508.04 | $29,612.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,481.17 / $13,689.69 / $22,913.45
| Facility | | $9,481.17 | $13,689.69 | $22,913.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,739.79 / $15,277.87 / $22,306.94
| Facility | | $11,739.79 | $15,277.87 | $22,306.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,739.79 / $14,202.82 / $22,306.94
| Facility | | $11,739.79 | $14,202.82 | $22,306.94 |