- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,778.28 / $4,897.79 / $26,302.68
| Facility | | $1,778.28 | $4,897.79 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,238.72 / $7,079.46 / $16,218.10
| Facility | | $2,238.72 | $7,079.46 | $16,218.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,908.68 / $33,884.42 / $57,543.99
| Facility | | $22,908.68 | $33,884.42 | $57,543.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $436.52 / $4,786.30 / $32,359.37
| Facility | | $436.52 | $4,786.30 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $5,495.41 / $18,620.87
| Facility | | $3,162.28 | $5,495.41 | $18,620.87 |