- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,417.02 / $11,611.47 / $24,068.03
| Facility | | $5,417.02 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,065.60 / $6,609.33 / $12,887.71
| Facility | | $5,065.60 | $6,609.33 | $12,887.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,173.96 / $2,601.07 / $8,816.00
| Facility | | $1,173.96 | $2,601.07 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,932.00 / $3,141.50 / $4,133.42
| Facility | | $1,932.00 | $3,141.50 | $4,133.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,210.00 / $7,221.00 / $8,632.00
| Facility | | $6,210.00 | $7,221.00 | $8,632.00 |