- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,314.70 / $12,152.10 / $19,566.40
| Facility | | $5,314.70 | $12,152.10 | $19,566.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $6,242.69 / $18,095.61
| Facility | | $1,474.01 | $6,242.69 | $18,095.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,796.54 / $12,705.78 / $17,999.27
| Facility | | $8,796.54 | $12,705.78 | $17,999.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,689.14 / $10,656.69 / $22,380.36
| Facility | | $7,689.14 | $10,656.69 | $22,380.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,219.31 / $10,656.69 / $22,669.33
| Facility | | $7,219.31 | $10,656.69 | $22,669.33 |