- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,170.99 / $6,664.70 / $13,544.40
| Facility | | $5,170.99 | $6,664.70 | $13,544.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,046.28 / $4,684.88 / $7,576.10
| Facility | | $1,046.28 | $4,684.88 | $7,576.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,237.67 / $6,565.53 / $7,506.10
| Facility | | $5,237.67 | $6,565.53 | $7,506.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,127.55 / $7,306.20 / $9,502.03
| Facility | | $4,127.55 | $7,306.20 | $9,502.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,621.86 / $6,229.69 / $8,712.52
| Facility | | $5,621.86 | $6,229.69 | $8,712.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $5,859.39 / $9,023.61
| Facility | | $1,286.00 | $5,859.39 | $9,023.61 |