- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,256.59 / $10,664.60 / $16,465.30
| Facility | | $7,256.59 | $10,664.60 | $16,465.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,520.09 / $20,520.09 / $20,520.09
| Facility | | $20,520.09 | $20,520.09 | $20,520.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,553.02 / $19,267.65 / $24,702.11
| Facility | | $13,553.02 | $19,267.65 | $24,702.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,274.64 / $12,235.78 / $18,251.59
| Facility | | $6,274.64 | $12,235.78 | $18,251.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,256.59 / $10,908.10 / $17,442.50
| Facility | | $7,256.59 | $10,908.10 | $17,442.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,868.65 / $14,512.02 / $22,047.98
| Facility | | $7,868.65 | $14,512.02 | $22,047.98 |