- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,361.37 / $16,831.80 / $27,101.30
| Facility | | $7,361.37 | $16,831.80 | $27,101.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $8,614.37 / $24,114.95
| Facility | | $1,474.01 | $8,614.37 | $24,114.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,184.05 / $17,598.71 / $24,930.69
| Facility | | $12,184.05 | $17,598.71 | $24,930.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,650.20 / $14,760.53 / $30,998.93
| Facility | | $10,650.20 | $14,760.53 | $30,998.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,999.43 / $14,353.27 / $26,611.49
| Facility | | $9,999.43 | $14,353.27 | $26,611.49 |