- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $9,101.70 / $16,642.00
| Facility | | $6,303.00 | $9,101.70 | $16,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,021.26 / $16,533.36 / $22,184.19
| Facility | | $12,021.26 | $16,533.36 | $22,184.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,849.32 / $13,525.73 / $18,960.84
| Facility | | $9,849.32 | $13,525.73 | $18,960.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,574.71 / $15,021.84 / $18,937.63
| Facility | | $8,574.71 | $15,021.84 | $18,937.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,574.71 / $15,146.89 / $19,862.09
| Facility | | $8,574.71 | $15,146.89 | $19,862.09 |