- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,829.72 / $11,043.20 / $17,780.90
| Facility | | $4,829.72 | $11,043.20 | $17,780.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,898.34 / $9,691.91 / $12,641.39
| Facility | | $6,898.34 | $9,691.91 | $12,641.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $15,283.87
| Facility | | $1,474.01 | $6,242.69 | $15,283.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,993.85 / $11,546.37 / $16,356.81
| Facility | | $7,993.85 | $11,546.37 | $16,356.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,987.50 / $9,684.26 / $20,338.13
| Facility | | $6,987.50 | $9,684.26 | $20,338.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,560.54 / $9,684.26 / $20,600.74
| Facility | | $6,560.54 | $9,684.26 | $20,600.74 |