- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,966.66 / $9,350.87 / $19,148.84
| Facility | | $2,966.66 | $9,350.87 | $19,148.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,183.05 / $10,762.95 / $20,819.02
| Facility | | $8,183.05 | $10,762.95 | $20,819.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,368.73 / $2,368.73 / $2,368.73
| Facility | | $2,368.73 | $2,368.73 | $2,368.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $466.02 / $838.84 / $4,803.10
| Facility | | $466.02 | $838.84 | $4,803.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $709.37 / $1,285.00 / $2,961.89
| Facility | | $709.37 | $1,285.00 | $2,961.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |