- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,952.67 / $15,897.30 / $25,596.70
| Facility | | $6,952.67 | $15,897.30 | $25,596.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $23,739.46
| Facility | | $1,474.01 | $6,242.69 | $23,739.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,507.59 / $16,621.64 / $23,546.55
| Facility | | $11,507.59 | $16,621.64 | $23,546.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,058.90 / $13,941.02 / $29,277.87
| Facility | | $10,058.90 | $13,941.02 | $29,277.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,444.26 / $13,941.02 / $29,655.90
| Facility | | $9,444.26 | $13,941.02 | $29,655.90 |