- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,061.08 / $7,005.10 / $24,826.37
| Facility | | $1,061.08 | $7,005.10 | $24,826.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,447.00 / $29,226.00 / $45,835.00
| Facility | | $10,447.00 | $29,226.00 | $45,835.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,054.79 / $1,447.75 / $2,171.63
| Facility | | $1,054.79 | $1,447.75 | $2,171.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,171.68 / $12,171.68 / $14,428.33
| Facility | | $12,171.68 | $12,171.68 | $14,428.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,258.00 / $16,659.00 / $34,706.00
| Facility | | $8,258.00 | $16,659.00 | $34,706.00 |