- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,561.00 / $8,844.33 / $17,977.90
| Facility | | $1,561.00 | $8,844.33 | $17,977.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,459.76 / $8,722.37 / $9,346.70
| Facility | | $5,459.76 | $8,722.37 | $9,346.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,150.73 / $7,710.07 / $8,814.60
| Facility | | $6,150.73 | $7,710.07 | $8,814.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,478.62 / $9,697.73 / $12,612.31
| Facility | | $5,478.62 | $9,697.73 | $12,612.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,551.71 / $10,030.74 / $10,748.71
| Facility | | $6,551.71 | $10,030.74 | $10,748.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,300.00 / $5,687.00 / $10,931.37
| Facility | | $1,300.00 | $5,687.00 | $10,931.37 |