- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,317.25 / $11,955.60 / $19,849.09
| Facility | | $9,317.25 | $11,955.60 | $19,849.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,496.43 / $9,560.46 / $20,419.79
| Facility | | $7,496.43 | $9,560.46 | $20,419.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,187.29 / $10,795.64 / $18,239.50
| Facility | | $7,187.29 | $10,795.64 | $18,239.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,305.35 / $12,752.03 / $18,335.86
| Facility | | $10,305.35 | $12,752.03 | $18,335.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.25 / $12,802.25 / $32,138.74
| Facility | | $6,406.25 | $12,802.25 | $32,138.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,406.25 / $12,223.13 / $17,179.00
| Facility | | $6,406.25 | $12,223.13 | $17,179.00 |