- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $21,877.62
| Facility | | $10,471.29 | $14,454.40 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $13,182.57 / $19,498.45
| Facility | | $8,317.64 | $13,182.57 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $12,589.25 / $22,387.21
| Facility | | $9,120.11 | $12,589.25 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $141.25 / $213.80
| Facility | | $100.00 | $141.25 | $213.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $14,125.38 / $20,892.96
| Facility | | $9,549.93 | $14,125.38 | $20,892.96 |