- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,499.78 / $14,861.80 / $23,929.30
| Facility | | $6,499.78 | $14,861.80 | $23,929.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $20,153.93
| Facility | | $1,474.01 | $5,930.56 | $20,153.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,758.00 / $15,538.93 / $22,012.76
| Facility | | $10,758.00 | $15,538.93 | $22,012.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,403.68 / $13,032.93 / $27,370.76
| Facility | | $9,403.68 | $13,032.93 | $27,370.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,829.08 / $13,032.93 / $27,724.17
| Facility | | $8,829.08 | $13,032.93 | $27,724.17 |