- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,771.16 / $10,486.50 / $11,861.60
| Facility | | $6,771.16 | $10,486.50 | $11,861.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,682.02 / $10,106.37 / $13,649.41
| Facility | | $6,682.02 | $10,106.37 | $13,649.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,252.68 / $9,648.54 / $14,731.75
| Facility | | $6,252.68 | $9,648.54 | $14,731.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,364.00 / $11,489.00 / $19,082.00
| Facility | | $7,364.00 | $11,489.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $12,113.92 / $16,122.65
| Facility | | $5,274.00 | $12,113.92 | $16,122.65 |