- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $15,488.17 / $23,442.29
| Facility | | $12,022.64 | $15,488.17 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $12,022.64 / $21,379.62
| Facility | | $6,760.83 | $12,022.64 | $21,379.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $14,791.08 / $22,387.21
| Facility | | $6,918.31 | $14,791.08 | $22,387.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,302.69 / $22,908.68
| Facility | | $8,912.51 | $12,302.69 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,311.31 / $10,964.78 / $18,620.87
| Facility | | $3,311.31 | $10,964.78 | $18,620.87 |