- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,385.04 / $9,883.91 / $11,185.20
| Facility | | $6,385.04 | $9,883.91 | $11,185.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,065.44 / $10,686.28 / $14,432.63
| Facility | | $7,065.44 | $10,686.28 | $14,432.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,896.12 / $9,098.33 / $13,891.68
| Facility | | $5,896.12 | $9,098.33 | $13,891.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,190.00 / $10,654.00 / $19,082.00
| Facility | | $6,190.00 | $10,654.00 | $19,082.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $11,423.12 / $15,203.25
| Facility | | $5,274.00 | $11,423.12 | $15,203.25 |