- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,488.56 / $12,475.20 / $19,260.59
| Facility | | $8,488.56 | $12,475.20 | $19,260.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,582.02 / $29,260.41 / $37,513.35
| Facility | | $20,582.02 | $29,260.41 | $37,513.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,553.58 / $18,470.93 / $23,362.40
| Facility | | $9,553.58 | $18,470.93 | $23,362.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,488.56 / $12,760.00 / $20,403.70
| Facility | | $8,488.56 | $12,760.00 | $20,403.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,927.28 / $16,975.75 / $25,791.12
| Facility | | $9,927.28 | $16,975.75 | $25,791.12 |