- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,566.93 / $11,086.10 / $19,508.30
| Facility | | $6,566.93 | $11,086.10 | $19,508.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,328.84 / $4,925.49 / $8,148.12
| Facility | | $3,328.84 | $4,925.49 | $8,148.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,802.35 / $10,218.65 / $14,710.18
| Facility | | $5,802.35 | $10,218.65 | $14,710.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,517.65 / $14,517.65 / $21,095.13
| Facility | | $14,517.65 | $14,517.65 | $21,095.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $9,661.41 / $13,800.22
| Facility | | $1,787.00 | $9,661.41 | $13,800.22 |