- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,347.64 / $9,328.79 / $14,402.90
| Facility | | $6,347.64 | $9,328.79 | $14,402.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,091.49 / $15,768.21 / $20,215.66
| Facility | | $11,091.49 | $15,768.21 | $20,215.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,144.05 / $13,812.34 / $17,470.11
| Facility | | $7,144.05 | $13,812.34 | $17,470.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,347.64 / $9,541.74 / $15,257.70
| Facility | | $6,347.64 | $9,541.74 | $15,257.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,423.49 / $12,694.27 / $19,286.28
| Facility | | $7,423.49 | $12,694.27 | $19,286.28 |