- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,338.67 / $11,368.70 / $19,933.59
| Facility | | $7,338.67 | $11,368.70 | $19,933.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,751.84 / $8,492.95 / $12,475.01
| Facility | | $7,751.84 | $8,492.95 | $12,475.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,055.59 / $1,918.00 / $10,338.50
| Facility | | $1,055.59 | $1,918.00 | $10,338.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,368.70 / $11,368.70 / $11,368.70
| Facility | | $11,368.70 | $11,368.70 | $11,368.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,200.12 / $11,249.52 / $15,074.69
| Facility | | $7,200.12 | $11,249.52 | $15,074.69 |