- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,463.36 / $10,431.19 / $20,928.72
| Facility | | $5,463.36 | $10,431.19 | $20,928.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,972.71 / $18,377.93 / $35,548.86
| Facility | | $13,972.71 | $18,377.93 | $35,548.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $244.06 / $391.80 / $8,816.00
| Facility | | $244.06 | $391.80 | $8,816.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $382.09 / $569.04 / $3,907.66
| Facility | | $382.09 | $569.04 | $3,907.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,341.00 / $7,441.00 / $8,816.00
| Facility | | $5,341.00 | $7,441.00 | $8,816.00 |