- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,083.97 / $8,477.27 / $19,276.96
| Facility | | $4,083.97 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,184.40 / $10,415.37 / $18,278.29
| Facility | | $7,184.40 | $10,415.37 | $18,278.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $347.09 / $564.45 / $941.54
| Facility | | $347.09 | $564.45 | $941.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $764.91 / $996.75 / $4,831.43
| Facility | | $764.91 | $996.75 | $4,831.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |