- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,960.15 / $12,353.20 / $19,775.59
| Facility | | $7,960.15 | $12,353.20 | $19,775.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,510.70 / $8,510.70 / $8,920.37
| Facility | | $8,510.70 | $8,510.70 | $8,920.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,072.95 / $9,868.56 / $14,004.61
| Facility | | $5,072.95 | $9,868.56 | $14,004.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,355.72 / $9,854.50 / $17,266.40
| Facility | | $7,355.72 | $9,854.50 | $17,266.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,222.72 / $11,160.32 / $14,955.16
| Facility | | $7,222.72 | $11,160.32 | $14,955.16 |