- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,074.70 / $16,176.30 / $26,045.90
| Facility | | $7,074.70 | $16,176.30 | $26,045.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,803.91 / $14,803.91 / $14,803.91
| Facility | | $14,803.91 | $14,803.91 | $14,803.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,685.40 / $23,121.80
| Facility | | $1,474.01 | $8,685.40 | $23,121.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,709.57 / $16,913.38 / $23,959.83
| Facility | | $11,709.57 | $16,913.38 | $23,959.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,235.45 / $14,185.72 / $29,791.75
| Facility | | $10,235.45 | $14,185.72 | $29,791.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,944.27 / $17,238.87 / $25,575.18
| Facility | | $10,944.27 | $17,238.87 | $25,575.18 |