- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,266.91 / $9,756.29 / $15,708.90
| Facility | | $4,266.91 | $9,756.29 | $15,708.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $13,576.80
| Facility | | $1,474.01 | $5,930.56 | $13,576.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,062.31 / $10,200.84 / $14,450.72
| Facility | | $7,062.31 | $10,200.84 | $14,450.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,173.23 / $8,555.73 / $17,968.08
| Facility | | $6,173.23 | $8,555.73 | $17,968.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,796.02 / $8,555.73 / $18,200.08
| Facility | | $5,796.02 | $8,555.73 | $18,200.08 |