- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,670.22 / $8,554.71 / $12,112.60
| Facility | | $4,670.22 | $8,554.71 | $12,112.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,229.34 / $7,519.17 / $8,271.28
| Facility | | $5,229.34 | $7,519.17 | $8,271.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,358.96 / $8,687.04 / $13,999.45
| Facility | | $5,358.96 | $8,687.04 | $13,999.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,855.62 / $7,655.69 / $13,691.38
| Facility | | $4,855.62 | $7,655.69 | $13,691.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,604.93 / $7,412.88 / $16,190.08
| Facility | | $3,604.93 | $7,412.88 | $16,190.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,089.94 / $7,473.00 / $14,387.35
| Facility | | $3,089.94 | $7,473.00 | $14,387.35 |