- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,429.84 / $8,735.46 / $13,754.60
| Facility | | $6,429.84 | $8,735.46 | $13,754.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,235.06 / $8,156.66 / $13,140.24
| Facility | | $5,235.06 | $8,156.66 | $13,140.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,609.20 / $7,865.00 / $14,016.00
| Facility | | $5,609.20 | $7,865.00 | $14,016.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.62 / $86.61 / $139.53
| Facility | | $59.62 | $86.61 | $139.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,178.25 / $8,550.45 / $14,072.06
| Facility | | $6,178.25 | $8,550.45 | $14,072.06 |