- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,032.41 / $7,395.88 / $11,418.60
| Facility | | $5,032.41 | $7,395.88 | $11,418.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,459.68 / $13,448.34 / $17,241.46
| Facility | | $9,459.68 | $13,448.34 | $17,241.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,663.81 / $10,950.44 / $13,850.32
| Facility | | $5,663.81 | $10,950.44 | $13,850.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,032.41 / $7,564.70 / $12,096.30
| Facility | | $5,032.41 | $7,564.70 | $12,096.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,885.35 / $9,610.62 / $15,114.12
| Facility | | $5,885.35 | $9,610.62 | $15,114.12 |