- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,022.64 / $13,803.84 / $17,782.79
| Facility | | $12,022.64 | $13,803.84 | $17,782.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,165.95 / $14,454.40 / $24,547.09
| Facility | | $6,165.95 | $14,454.40 | $24,547.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,589.25 / $16,595.87 / $22,908.68
| Facility | | $12,589.25 | $16,595.87 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,943.28 / $15,848.93 / $25,703.96
| Facility | | $7,943.28 | $15,848.93 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $14,454.40 / $21,877.62
| Facility | | $9,332.54 | $14,454.40 | $21,877.62 |