- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,553.74 / $17,500.09 / $24,778.30
| Facility | | $9,553.74 | $17,500.09 | $24,778.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,592.50 / $15,413.23 / $24,437.55
| Facility | | $9,592.50 | $15,413.23 | $24,437.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,933.00 / $15,742.30 / $28,008.05
| Facility | | $9,933.00 | $15,742.30 | $28,008.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,321.00 / $14,778.53 / $33,119.57
| Facility | | $6,321.00 | $14,778.53 | $33,119.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $14,529.27 / $29,431.78
| Facility | | $3,308.00 | $14,529.27 | $29,431.78 |