- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,157.58 / $7,219.81 / $11,624.80
| Facility | | $3,157.58 | $7,219.81 | $11,624.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,461.53 / $6,566.98 / $8,319.85
| Facility | | $5,461.53 | $6,566.98 | $8,319.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,931.95 / $10,325.56
| Facility | | $1,474.01 | $5,931.95 | $10,325.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,226.21 / $7,548.77 / $10,693.74
| Facility | | $5,226.21 | $7,548.77 | $10,693.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,568.28 / $6,331.36 / $18,890.14
| Facility | | $4,568.28 | $6,331.36 | $18,890.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,289.14 / $6,331.36 / $13,468.33
| Facility | | $4,289.14 | $6,331.36 | $13,468.33 |