- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,624.14 / $8,286.60 / $13,342.50
| Facility | | $3,624.14 | $8,286.60 | $13,342.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,112.47 / $11,744.16
| Facility | | $1,474.01 | $5,112.47 | $11,744.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,998.43 / $8,664.18 / $12,273.85
| Facility | | $5,998.43 | $8,664.18 | $12,273.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,243.29 / $7,266.88 / $15,261.35
| Facility | | $5,243.29 | $7,266.88 | $15,261.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,922.91 / $7,266.88 / $15,458.40
| Facility | | $4,922.91 | $7,266.88 | $15,458.40 |