- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,231.55 / $8,031.63 / $16,322.40
| Facility | | $6,231.55 | $8,031.63 | $16,322.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,041.12 / $9,041.12 / $10,192.27
| Facility | | $9,041.12 | $9,041.12 | $10,192.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,515.67 / $8,167.53 / $9,337.60
| Facility | | $6,515.67 | $8,167.53 | $9,337.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,974.10 / $8,804.70 / $11,450.89
| Facility | | $4,974.10 | $8,804.70 | $11,450.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,597.89 / $10,597.89 / $12,230.72
| Facility | | $10,597.89 | $10,597.89 | $12,230.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,286.00 / $7,061.15 / $10,874.35
| Facility | | $1,286.00 | $7,061.15 | $10,874.35 |