- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,521.02 / $11,642.40 / $13,175.20
| Facility | | $7,521.02 | $11,642.40 | $13,175.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,764.50 / $10,231.12 / $13,817.89
| Facility | | $6,764.50 | $10,231.12 | $13,817.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,945.12 / $10,717.06 / $15,866.00
| Facility | | $6,945.12 | $10,717.06 | $15,866.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,092.48 / $11,229.00 / $19,082.00
| Facility | | $7,092.48 | $11,229.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $13,455.46 / $17,908.13
| Facility | | $5,274.00 | $13,455.46 | $17,908.13 |