- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,537.31 / $9,414.36 / $12,628.50
| Facility | | $4,537.31 | $9,414.36 | $12,628.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,485.02 / $10,112.64 / $15,861.06
| Facility | | $8,485.02 | $10,112.64 | $15,861.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $8,372.83 / $9,955.68
| Facility | | $2,651.00 | $8,372.83 | $9,955.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,002.21 / $9,721.35 / $15,301.11
| Facility | | $8,002.21 | $9,721.35 | $15,301.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,500.00 / $5,888.00 / $13,810.46
| Facility | | $1,500.00 | $5,888.00 | $13,810.46 |