- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,549.42 / $7,364.60 / $9,878.96
| Facility | | $3,549.42 | $7,364.60 | $9,878.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,568.36 / $7,428.57 / $8,830.09
| Facility | | $3,568.36 | $7,428.57 | $8,830.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,651.00 / $7,243.60 / $8,612.98
| Facility | | $2,651.00 | $7,243.60 | $8,612.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,259.91 / $7,604.75 / $11,969.64
| Facility | | $6,259.91 | $7,604.75 | $11,969.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $5,372.00 / $9,395.46
| Facility | | $1,350.00 | $5,372.00 | $9,395.46 |