- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,185.49 / $11,330.30 / $16,042.50
| Facility | | $6,185.49 | $11,330.30 | $16,042.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,865.16 / $11,014.16 / $17,301.03
| Facility | | $6,865.16 | $11,014.16 | $17,301.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,431.04 / $10,192.21 / $18,133.58
| Facility | | $6,431.04 | $10,192.21 | $18,133.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,774.56 / $9,887.24 / $21,443.00
| Facility | | $4,774.56 | $9,887.24 | $21,443.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,308.00 / $9,406.86 / $19,055.37
| Facility | | $3,308.00 | $9,406.86 | $19,055.37 |