- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,772.37 / $14,454.40 / $19,498.45
| Facility | | $9,772.37 | $14,454.40 | $19,498.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $16,218.10 / $53,703.18
| Facility | | $16,218.10 | $16,218.10 | $53,703.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $14,791.08 / $19,054.61
| Facility | | $6,918.31 | $14,791.08 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,317.64 / $12,589.25 / $19,054.61
| Facility | | $8,317.64 | $12,589.25 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $14,454.40 / $21,379.62
| Facility | | $6,025.60 | $14,454.40 | $21,379.62 |