- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,959.51 / $15,912.90 / $25,621.80
| Facility | | $6,959.51 | $15,912.90 | $25,621.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,952.29 / $22,431.16
| Facility | | $1,474.01 | $8,952.29 | $22,431.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,518.91 / $16,637.98 / $23,569.70
| Facility | | $11,518.91 | $16,637.98 | $23,569.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,068.79 / $13,954.74 / $29,306.67
| Facility | | $10,068.79 | $13,954.74 | $29,306.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,068.79 / $16,958.16 / $29,685.07
| Facility | | $10,068.79 | $16,958.16 | $29,685.07 |