- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,757.97 / $9,720.41 / $17,105.09
| Facility | | $5,757.97 | $9,720.41 | $17,105.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,352.76 / $6,425.10 / $10,654.41
| Facility | | $4,352.76 | $6,425.10 | $10,654.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,237.78 / $8,959.85 / $12,898.08
| Facility | | $5,237.78 | $8,959.85 | $12,898.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,332.70 / $18,332.70 / $21,514.98
| Facility | | $18,332.70 | $18,332.70 | $21,514.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $8,471.26 / $12,100.22
| Facility | | $1,787.00 | $8,471.26 | $12,100.22 |