- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,610.00 / $5,135.00 / $10,817.74
| Facility | | $1,610.00 | $5,135.00 | $10,817.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,287.00 / $7,014.45 / $13,582.00
| Facility | | $3,287.00 | $7,014.45 | $13,582.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,123.43 / $1,441.84 / $1,914.95
| Facility | | $1,123.43 | $1,441.84 | $1,914.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,571.00 / $21,571.00 / $21,571.00
| Facility | | $21,571.00 | $21,571.00 | $21,571.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,435.92 / $1,435.92 / $1,435.92
| Facility | | $1,435.92 | $1,435.92 | $1,435.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,233.00 / $4,223.00 / $6,522.00
| Facility | | $2,233.00 | $4,223.00 | $6,522.00 |