- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $8,477.27 / $19,276.96
| Facility | | $4,382.00 | $8,477.27 | $19,276.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,828.69 / $16,873.23 / $32,638.27
| Facility | | $12,828.69 | $16,873.23 | $32,638.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $383.23 / $571.08 / $15,622.00
| Facility | | $383.23 | $571.08 | $15,622.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $599.77 / $895.74 / $13,214.25
| Facility | | $599.77 | $895.74 | $13,214.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,148.00 / $9,696.00 / $15,622.00
| Facility | | $8,148.00 | $9,696.00 | $15,622.00 |