- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,392.60 / $10,795.40 / $14,188.90
| Facility | | $7,392.60 | $10,795.40 | $14,188.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,592.91 / $7,061.47 / $11,943.52
| Facility | | $2,592.91 | $7,061.47 | $11,943.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,781.05 / $10,843.37 / $18,149.34
| Facility | | $7,781.05 | $10,843.37 | $18,149.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,298.87 / $12,101.34 / $17,668.93
| Facility | | $9,298.87 | $12,101.34 | $17,668.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,298.87 / $11,249.81 / $17,668.93
| Facility | | $9,298.87 | $11,249.81 | $17,668.93 |