- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,488.35 / $10,262.60 / $16,524.20
| Facility | | $4,488.35 | $10,262.60 | $16,524.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $14,102.84
| Facility | | $1,474.01 | $5,930.56 | $14,102.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,428.83 / $10,730.25 / $15,200.69
| Facility | | $7,428.83 | $10,730.25 | $15,200.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,493.61 / $8,999.76 / $18,900.59
| Facility | | $6,493.61 | $8,999.76 | $18,900.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,096.83 / $9,241.99 / $19,144.64
| Facility | | $6,096.83 | $9,241.99 | $19,144.64 |