- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $11,611.47 / $24,068.03
| Facility | | $5,463.36 | $11,611.47 | $24,068.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,970.26 / $10,801.75 / $20,277.64
| Facility | | $7,970.26 | $10,801.75 | $20,277.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,555.84 / $2,782.09 / $8,816.00
| Facility | | $1,555.84 | $2,782.09 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,586.00 / $3,621.07 / $5,383.60
| Facility | | $2,586.00 | $3,621.07 | $5,383.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,612.14 / $7,221.00 / $8,816.00
| Facility | | $4,612.14 | $7,221.00 | $8,816.00 |