- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,549.28 / $9,439.20 / $12,661.90
| Facility | | $4,549.28 | $9,439.20 | $12,661.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,321.07 / $10,321.07 / $11,587.26
| Facility | | $10,321.07 | $10,321.07 | $11,587.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $9,684.79 / $11,515.67
| Facility | | $2,651.00 | $9,684.79 | $11,515.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,023.32 / $9,747.00 / $15,341.48
| Facility | | $8,023.32 | $9,747.00 | $15,341.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,713.00 / $12,042.16
| Facility | | $1,350.00 | $5,713.00 | $12,042.16 |