- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,950.18 / $11,318.60 / $18,224.40
| Facility | | $4,950.18 | $11,318.60 | $18,224.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $15,728.78
| Facility | | $1,474.01 | $5,930.56 | $15,728.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,193.21 / $11,834.33 / $16,764.75
| Facility | | $8,193.21 | $11,834.33 | $16,764.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,161.77 / $9,925.78 / $20,845.37
| Facility | | $7,161.77 | $9,925.78 | $20,845.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,724.16 / $9,925.78 / $21,114.52
| Facility | | $6,724.16 | $9,925.78 | $21,114.52 |