- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,097.99 / $9,097.99 / $10,782.90
| Facility | | $9,097.99 | $9,097.99 | $10,782.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,532.75 / $10,629.13 / $15,900.53
| Facility | | $6,532.75 | $10,629.13 | $15,900.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,441.03 / $9,209.85 / $15,669.50
| Facility | | $7,441.03 | $9,209.85 | $15,669.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,657.37 / $10,681.76 / $17,484.50
| Facility | | $6,657.37 | $10,681.76 | $17,484.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.10 / $6,065.14 / $8,921.94
| Facility | | $96.10 | $6,065.14 | $8,921.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,575.76 / $10,553.12 / $12,402.57
| Facility | | $7,575.76 | $10,553.12 | $12,402.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,837.12 / $11,256.45 / $14,189.67
| Facility | | $6,837.12 | $11,256.45 | $14,189.67 |