- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $7,014.80 / $14,678.50
| Facility | | $6,303.00 | $7,014.80 | $14,678.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.93 / $12,742.46 / $17,097.63
| Facility | | $9,264.93 | $12,742.46 | $17,097.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,590.99 / $10,424.44 / $14,613.36
| Facility | | $7,590.99 | $10,424.44 | $14,613.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.64 / $11,577.51 / $14,595.46
| Facility | | $6,608.64 | $11,577.51 | $14,595.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,608.64 / $11,673.89 / $15,307.95
| Facility | | $6,608.64 | $11,673.89 | $15,307.95 |