- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $6,309.57 / $66,069.34
| Facility | | $1,202.26 | $6,309.57 | $66,069.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $22,908.68 / $31,622.78
| Facility | | $10,471.29 | $22,908.68 | $31,622.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $977.24 / $1,148.15 / $1,318.26
| Facility | | $977.24 | $1,148.15 | $1,318.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,023.29 / $1,698.24 / $2,238.72
| Facility | | $1,023.29 | $1,698.24 | $2,238.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,073.80 / $7,762.47 / $10,964.78
| Facility | | $4,073.80 | $7,762.47 | $10,964.78 |