- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,294.32 / $7,440.43 / $10,160.60
| Facility | | $4,294.32 | $7,440.43 | $10,160.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,747.00 / $8,511.27 / $13,255.45
| Facility | | $5,747.00 | $8,511.27 | $13,255.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,983.04 / $7,099.56 / $11,015.70
| Facility | | $3,983.04 | $7,099.56 | $11,015.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,499.14 / $7,499.14 / $9,106.10
| Facility | | $7,499.14 | $7,499.14 | $9,106.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,104.09 / $7,440.43 / $10,055.00
| Facility | | $4,104.09 | $7,440.43 | $10,055.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,747.75 / $6,658.11 / $9,734.00
| Facility | | $3,747.75 | $6,658.11 | $9,734.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,621.40 / $3,758.16 / $5,035.12
| Facility | | $2,621.40 | $3,758.16 | $5,035.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,058.27 / $5,736.54 / $10,405.41
| Facility | | $3,058.27 | $5,736.54 | $10,405.41 |