- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,816.20 / $11,398.60 / $18,503.59
| Facility | | $7,816.20 | $11,398.60 | $18,503.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,640.28 / $14,640.28 / $45,293.60
| Facility | | $14,640.28 | $14,640.28 | $45,293.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,238.23 / $20,241.75 / $25,950.98
| Facility | | $14,238.23 | $20,241.75 | $25,950.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,178.06 / $17,744.91 / $22,444.10
| Facility | | $9,178.06 | $17,744.91 | $22,444.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,154.90 / $12,258.40 / $19,601.70
| Facility | | $8,154.90 | $12,258.40 | $19,601.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,537.07 / $16,308.50 / $24,777.35
| Facility | | $9,537.07 | $16,308.50 | $24,777.35 |