- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,784.42 / $13,226.10 / $21,295.70
| Facility | | $5,784.42 | $13,226.10 | $21,295.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,768.51 / $19,157.53
| Facility | | $1,474.01 | $6,768.51 | $19,157.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,573.99 / $13,828.73 / $19,590.06
| Facility | | $9,573.99 | $13,828.73 | $19,590.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,368.71 / $11,598.54 / $24,358.36
| Facility | | $8,368.71 | $11,598.54 | $24,358.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,857.36 / $11,598.54 / $24,672.87
| Facility | | $7,857.36 | $11,598.54 | $24,672.87 |