- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,988.12 / $11,797.10 / $20,759.50
| Facility | | $6,988.12 | $11,797.10 | $20,759.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,848.53 / $11,177.13 / $18,436.48
| Facility | | $7,848.53 | $11,177.13 | $18,436.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,356.79 / $10,874.05 / $15,631.95
| Facility | | $6,356.79 | $10,874.05 | $15,631.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,774.30 / $19,774.30 / $23,206.82
| Facility | | $19,774.30 | $19,774.30 | $23,206.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $10,281.08 / $14,685.34
| Facility | | $1,787.00 | $10,281.08 | $14,685.34 |