- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,471.29 / $12,207.20 / $24,808.30
| Facility | | $9,471.29 | $12,207.20 | $24,808.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,451.98 / $10,451.98 / $18,364.79
| Facility | | $10,451.98 | $10,451.98 | $18,364.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,555.89 / $11,978.51 / $13,694.53
| Facility | | $9,555.89 | $11,978.51 | $13,694.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,560.12 / $13,382.21 / $17,404.15
| Facility | | $7,560.12 | $13,382.21 | $17,404.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,019.78 / $12,019.78 / $16,696.03
| Facility | | $12,019.78 | $12,019.78 | $16,696.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,518.00 / $12,159.64 / $17,094.87
| Facility | | $1,518.00 | $12,159.64 | $17,094.87 |