- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,940.70 / $14,492.50 / $25,356.40
| Facility | | $10,940.70 | $14,492.50 | $25,356.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,658.64 / $6,658.64 / $16,375.54
| Facility | | $6,658.64 | $6,658.64 | $16,375.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,377.00 / $11,777.13 / $24,031.14
| Facility | | $5,377.00 | $11,777.13 | $24,031.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,065.54 / $14,719.35 / $22,638.83
| Facility | | $10,065.54 | $14,719.35 | $22,638.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $14,935.22 / $22,811.70
| Facility | | $3,496.00 | $14,935.22 | $22,811.70 |