- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,332.54 / $13,489.63 / $30,902.95
| Facility | | $9,332.54 | $13,489.63 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $12,589.25 / $22,908.68
| Facility | | $6,918.31 | $12,589.25 | $22,908.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,677.35 / $8,912.51 / $14,791.08
| Facility | | $4,677.35 | $8,912.51 | $14,791.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,220.18 / $16,218.10 / $27,542.29
| Facility | | $11,220.18 | $16,218.10 | $27,542.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $20,892.96 / $31,622.78
| Facility | | $6,918.31 | $20,892.96 | $31,622.78 |