- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,411.08 / $10,354.10 / $17,190.30
| Facility | | $7,411.08 | $10,354.10 | $17,190.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,504.00 / $11,138.50 / $16,062.37
| Facility | | $9,504.00 | $11,138.50 | $16,062.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,245.59 / $9,356.26 / $15,849.70
| Facility | | $6,245.59 | $9,356.26 | $15,849.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,924.94 / $11,043.88 / $15,879.75
| Facility | | $8,924.94 | $11,043.88 | $15,879.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,548.13 / $11,087.37 / $27,927.80
| Facility | | $5,548.13 | $11,087.37 | $27,927.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,548.13 / $10,585.82 / $14,877.85
| Facility | | $5,548.13 | $10,585.82 | $14,877.85 |