- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,909.11 / $12,149.20 / $20,170.59
| Facility | | $8,909.11 | $12,149.20 | $20,170.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,653.15 / $10,184.92 / $16,883.99
| Facility | | $6,653.15 | $10,184.92 | $16,883.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,472.25 / $12,958.55 / $18,632.81
| Facility | | $10,472.25 | $12,958.55 | $18,632.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,510.00 / $13,009.58 / $29,750.26
| Facility | | $6,510.00 | $13,009.58 | $29,750.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,510.00 / $12,421.08 / $17,457.22
| Facility | | $6,510.00 | $12,421.08 | $17,457.22 |