- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,411.79 / $12,076.90 / $20,050.50
| Facility | | $9,411.79 | $12,076.90 | $20,050.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,572.30 / $10,913.80 / $12,231.79
| Facility | | $3,572.30 | $10,913.80 | $12,231.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,511.63 / $10,930.21 / $21,047.94
| Facility | | $7,511.63 | $10,930.21 | $21,047.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,409.91 / $12,881.41 / $18,820.00
| Facility | | $10,409.91 | $12,881.41 | $18,820.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,648.70 / $13,009.80 / $31,927.26
| Facility | | $8,648.70 | $13,009.80 | $31,927.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,057.89 / $12,218.76 / $22,374.99
| Facility | | $8,057.89 | $12,218.76 | $22,374.99 |