- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,073.34 / $10,949.40 / $12,391.00
| Facility | | $7,073.34 | $10,949.40 | $12,391.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,349.67 / $11,116.16 / $15,013.21
| Facility | | $7,349.67 | $11,116.16 | $15,013.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,531.72 / $10,170.14 / $15,389.20
| Facility | | $6,531.72 | $10,170.14 | $15,389.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,884.14 / $12,199.11 / $19,893.00
| Facility | | $7,884.14 | $12,199.11 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $12,654.54 / $16,842.16
| Facility | | $5,274.00 | $12,654.54 | $16,842.16 |