- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,706.57 / $13,048.10 / $21,009.10
| Facility | | $5,706.57 | $13,048.10 | $21,009.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,072.38 / $16,913.54
| Facility | | $1,474.01 | $6,072.38 | $16,913.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,445.14 / $13,642.62 / $19,326.41
| Facility | | $9,445.14 | $13,642.62 | $19,326.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,256.09 / $11,442.44 / $24,030.54
| Facility | | $8,256.09 | $11,442.44 | $24,030.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,751.61 / $11,442.44 / $24,340.82
| Facility | | $7,751.61 | $11,442.44 | $24,340.82 |