- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,481.54 / $16,982.44 / $21,877.62
| Facility | | $11,481.54 | $16,982.44 | $21,877.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,630.78 / $7,079.46 / $15,488.17
| Facility | | $3,630.78 | $7,079.46 | $15,488.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $8,128.31 / $15,135.61
| Facility | | $5,888.44 | $8,128.31 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,888.44 / $8,128.31 / $15,135.61
| Facility | | $5,888.44 | $8,128.31 | $15,135.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,365.16 / $10,471.29 / $16,595.87
| Facility | | $4,365.16 | $10,471.29 | $16,595.87 |