- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,149.54 / $11,774.40 / $18,958.30
| Facility | | $5,149.54 | $11,774.40 | $18,958.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $5,930.56 / $16,843.31
| Facility | | $1,474.01 | $5,930.56 | $16,843.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,523.17 / $12,310.93 / $17,439.91
| Facility | | $8,523.17 | $12,310.93 | $17,439.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,450.19 / $10,325.51 / $21,684.85
| Facility | | $7,450.19 | $10,325.51 | $21,684.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,994.96 / $10,325.51 / $21,964.84
| Facility | | $6,994.96 | $10,325.51 | $21,964.84 |