- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,983.25 / $13,680.70 / $22,027.70
| Facility | | $5,983.25 | $13,680.70 | $22,027.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $7,470.90 / $17,578.06
| Facility | | $1,474.01 | $7,470.90 | $17,578.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,903.08 / $14,304.06 / $20,263.43
| Facility | | $9,903.08 | $14,304.06 | $20,263.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,656.37 / $11,997.21 / $25,195.63
| Facility | | $8,656.37 | $11,997.21 | $25,195.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,127.44 / $11,997.21 / $25,520.95
| Facility | | $8,127.44 | $11,997.21 | $25,520.95 |