- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,838.14 / $11,062.40 / $17,811.90
| Facility | | $4,838.14 | $11,062.40 | $17,811.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,603.72 / $15,227.87
| Facility | | $1,474.01 | $5,603.72 | $15,227.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,007.78 / $11,566.49 / $16,385.32
| Facility | | $8,007.78 | $11,566.49 | $16,385.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,999.68 / $9,701.12 / $20,373.57
| Facility | | $6,999.68 | $9,701.12 | $20,373.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,571.97 / $9,701.12 / $20,636.63
| Facility | | $6,571.97 | $9,701.12 | $20,636.63 |