- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,089.36 / $9,807.73 / $11,307.70
| Facility | | $8,089.36 | $9,807.73 | $11,307.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,853.07 / $11,788.68 / $16,372.64
| Facility | | $10,853.07 | $11,788.68 | $16,372.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,196.06 / $11,454.14 / $19,658.89
| Facility | | $7,196.06 | $11,454.14 | $19,658.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $11,146.45 / $17,309.00
| Facility | | $3,137.00 | $11,146.45 | $17,309.00 |