- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,947.03 / $11,311.40 / $18,212.80
| Facility | | $4,947.03 | $11,311.40 | $18,212.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $9,182.50 / $17,757.50
| Facility | | $1,474.01 | $9,182.50 | $17,757.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,187.99 / $11,826.79 / $16,754.07
| Facility | | $8,187.99 | $11,826.79 | $16,754.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,157.21 / $12,102.35 / $28,381.86
| Facility | | $7,157.21 | $12,102.35 | $28,381.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,157.21 / $12,737.19 / $21,101.06
| Facility | | $7,157.21 | $12,737.19 | $21,101.06 |