- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,273.49 / $9,374.54 / $19,051.50
| Facility | | $7,273.49 | $9,374.54 | $19,051.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,961.33 / $10,424.39 / $12,711.10
| Facility | | $7,961.33 | $10,424.39 | $12,711.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,247.68 / $9,085.12 / $10,386.64
| Facility | | $7,247.68 | $9,085.12 | $10,386.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,805.80 / $10,276.87 / $13,365.52
| Facility | | $5,805.80 | $10,276.87 | $13,365.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,155.53 / $11,988.05 / $14,617.77
| Facility | | $9,155.53 | $11,988.05 | $14,617.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,857.00 / $10,662.58 / $14,454.62
| Facility | | $1,857.00 | $10,662.58 | $14,454.62 |