- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,144.40 / $15,703.40 / $17,770.90
| Facility | | $10,144.40 | $15,703.40 | $17,770.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,632.37 / $14,568.68 / $19,676.09
| Facility | | $9,632.37 | $14,568.68 | $19,676.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,361.29 / $13,776.37 / $19,698.79
| Facility | | $9,361.29 | $13,776.37 | $19,698.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,413.01 / $15,203.00 / $20,738.00
| Facility | | $9,413.01 | $15,203.00 | $20,738.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $18,148.84 / $24,154.65
| Facility | | $5,274.00 | $18,148.84 | $24,154.65 |