- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,592.66 / $14,849.30 / $16,804.30
| Facility | | $9,592.66 | $14,849.30 | $16,804.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,859.75 / $14,912.58 / $20,140.57
| Facility | | $9,859.75 | $14,912.58 | $20,140.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,852.12 / $13,400.00 / $18,627.34
| Facility | | $8,852.12 | $13,400.00 | $18,627.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,843.43 / $14,531.00 / $19,893.00
| Facility | | $8,843.43 | $14,531.00 | $19,893.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $17,161.71 / $22,840.86
| Facility | | $5,274.00 | $17,161.71 | $22,840.86 |