- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,612.52 / $13,944.30 / $19,743.59
| Facility | | $7,612.52 | $13,944.30 | $19,743.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,800.01 / $12,546.35 / $20,048.95
| Facility | | $7,800.01 | $12,546.35 | $20,048.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,914.72 / $12,543.63 / $22,317.11
| Facility | | $7,914.72 | $12,543.63 | $22,317.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,264.00 / $11,322.92 / $26,390.03
| Facility | | $5,264.00 | $11,322.92 | $26,390.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $11,577.08 / $23,451.56
| Facility | | $3,308.00 | $11,577.08 | $23,451.56 |