- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,120.11 / $13,803.84 / $18,620.87
| Facility | | $9,120.11 | $13,803.84 | $18,620.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,137.96 / $2,137.96 / $25,703.96
| Facility | | $2,137.96 | $2,137.96 | $25,703.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $13,803.84 / $18,197.01
| Facility | | $6,606.93 | $13,803.84 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,413.10 / $11,481.54 / $16,982.44
| Facility | | $7,413.10 | $11,481.54 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $14,454.40 / $21,379.62
| Facility | | $5,623.41 | $14,454.40 | $21,379.62 |