- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,559.52 / $8,477.27 / $20,928.72
| Facility | | $3,559.52 | $8,477.27 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,008.77 / $8,711.03 / $15,287.30
| Facility | | $6,008.77 | $8,711.03 | $15,287.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $308.13 / $554.63 / $1,373.83
| Facility | | $308.13 | $554.63 | $1,373.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $612.77 / $761.50 / $1,017.31
| Facility | | $612.77 | $761.50 | $1,017.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |