- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,597.17 / $12,797.90 / $20,606.30
| Facility | | $5,597.17 | $12,797.90 | $20,606.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,310.46 / $17,849.56
| Facility | | $1,474.01 | $7,310.46 | $17,849.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.04 / $13,381.06 / $18,955.88
| Facility | | $9,264.04 | $13,381.06 | $18,955.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,097.80 / $11,223.06 / $23,569.82
| Facility | | $8,097.80 | $11,223.06 | $23,569.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,602.99 / $11,223.06 / $23,874.15
| Facility | | $7,602.99 | $11,223.06 | $23,874.15 |