- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,546.74 / $10,396.10 / $16,739.09
| Facility | | $4,546.74 | $10,396.10 | $16,739.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,203.99 / $14,203.99 / $14,203.99
| Facility | | $14,203.99 | $14,203.99 | $14,203.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,103.42 / $14,779.89
| Facility | | $1,474.01 | $6,103.42 | $14,779.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,525.47 / $10,869.83 / $15,398.42
| Facility | | $7,525.47 | $10,869.83 | $15,398.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,578.08 / $9,116.83 / $19,146.46
| Facility | | $6,578.08 | $9,116.83 | $19,146.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,176.14 / $9,116.83 / $19,393.68
| Facility | | $6,176.14 | $9,116.83 | $19,393.68 |