- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $7,244.36 / $8,317.64
| Facility | | $5,623.41 | $7,244.36 | $8,317.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,786.30 / $7,943.28 / $9,332.54
| Facility | | $4,786.30 | $7,943.28 | $9,332.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $6,456.54 / $7,943.28
| Facility | | $5,495.41 | $6,456.54 | $7,943.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,128.61 / $8,128.31 / $10,232.93
| Facility | | $5,128.61 | $8,128.31 | $10,232.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,495.41 / $9,120.11 / $10,715.19
| Facility | | $5,495.41 | $9,120.11 | $10,715.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,513.56 / $7,585.78 / $9,772.37
| Facility | | $1,513.56 | $7,585.78 | $9,772.37 |