- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,303.00 / $9,198.51 / $16,642.00
| Facility | | $6,303.00 | $9,198.51 | $16,642.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,149.11 / $16,709.20 / $22,420.14
| Facility | | $12,149.11 | $16,709.20 | $22,420.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,954.07 / $13,669.59 / $19,162.52
| Facility | | $9,954.07 | $13,669.59 | $19,162.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,665.92 / $15,181.61 / $19,139.05
| Facility | | $8,665.92 | $15,181.61 | $19,139.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,846.45 / $13,310.31 / $19,521.79
| Facility | | $8,846.45 | $13,310.31 | $19,521.79 |