- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,574.78 / $12,683.10 / $22,190.70
| Facility | | $9,574.78 | $12,683.10 | $22,190.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,364.96 / $10,093.98 / $20,562.71
| Facility | | $6,364.96 | $10,093.98 | $20,562.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,843.91 / $11,082.47 / $21,598.12
| Facility | | $5,843.91 | $11,082.47 | $21,598.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,140.70 / $12,994.52 / $19,812.38
| Facility | | $9,140.70 | $12,994.52 | $19,812.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $13,070.56 / $19,963.66
| Facility | | $3,496.00 | $13,070.56 | $19,963.66 |