- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,973.92 / $8,350.12 / $13,554.90
| Facility | | $5,973.92 | $8,350.12 | $13,554.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,745.82 / $28,071.62 / $35,989.26
| Facility | | $19,745.82 | $28,071.62 | $35,989.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,723.43 / $13,110.94 / $19,044.97
| Facility | | $6,723.43 | $13,110.94 | $19,044.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,973.92 / $8,979.95 / $14,359.40
| Facility | | $5,973.92 | $8,979.95 | $14,359.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,986.43 / $11,408.66 / $17,941.79
| Facility | | $6,986.43 | $11,408.66 | $17,941.79 |