- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,344.61 / $9,344.61 / $11,075.20
| Facility | | $9,344.61 | $9,344.61 | $11,075.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,702.74 / $10,905.72 / $16,314.29
| Facility | | $6,702.74 | $10,905.72 | $16,314.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,642.74 / $9,459.51 / $16,094.26
| Facility | | $7,642.74 | $9,459.51 | $16,094.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,837.83 / $10,971.31 / $17,958.46
| Facility | | $6,837.83 | $10,971.31 | $17,958.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.60 / $6,222.97 / $9,163.79
| Facility | | $98.60 | $6,222.97 | $9,163.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,781.11 / $10,839.19 / $12,738.77
| Facility | | $7,781.11 | $10,839.19 | $12,738.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,022.45 / $11,561.58 / $14,574.32
| Facility | | $7,022.45 | $11,561.58 | $14,574.32 |