- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,871.53 / $7,159.44 / $11,053.60
| Facility | | $4,871.53 | $7,159.44 | $11,053.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,277.32 / $9,284.29 / $13,476.35
| Facility | | $8,277.32 | $9,284.29 | $13,476.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,855.66 / $12,589.64 / $16,140.57
| Facility | | $8,855.66 | $12,589.64 | $16,140.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,482.74 / $10,600.36 / $13,407.54
| Facility | | $5,482.74 | $10,600.36 | $13,407.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,871.53 / $7,322.86 / $11,709.60
| Facility | | $4,871.53 | $7,322.86 | $11,709.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,697.20 / $9,742.29 / $14,801.36
| Facility | | $5,697.20 | $9,742.29 | $14,801.36 |