- 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
- $15,547.24 / $20,448.87 / $39,554.72
| Facility | | $15,547.24 | $20,448.87 | $39,554.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,471.13 / $2,289.79 / $9,696.00
| Facility | | $1,471.13 | $2,289.79 | $9,696.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,324.26 / $2,888.40 / $3,302.73
| Facility | | $2,324.26 | $2,888.40 | $3,302.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,939.00 / $8,158.00 / $9,496.00
| Facility | | $6,939.00 | $8,158.00 | $9,496.00 |