- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,366.33 / $9,983.61 / $16,074.90
| Facility | | $4,366.33 | $9,983.61 | $16,074.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,593.19 / $9,023.37 / $9,047.06
| Facility | | $7,593.19 | $9,023.37 | $9,047.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,528.05 / $13,945.03
| Facility | | $1,474.01 | $6,528.05 | $13,945.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,226.85 / $10,438.51 / $14,787.40
| Facility | | $7,226.85 | $10,438.51 | $14,787.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,317.06 / $8,755.06 / $18,386.72
| Facility | | $6,317.06 | $8,755.06 | $18,386.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,931.06 / $8,755.06 / $18,624.12
| Facility | | $5,931.06 | $8,755.06 | $18,624.12 |