- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,382.00 / $9,640.26 / $31,845.38
| Facility | | $4,382.00 | $9,640.26 | $31,845.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,392.42 / $45,235.44 / $87,499.94
| Facility | | $34,392.42 | $45,235.44 | $87,499.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $633.89 / $1,004.90 / $53,412.59
| Facility | | $633.89 | $1,004.90 | $53,412.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $986.37 / $1,489.03 / $52,815.25
| Facility | | $986.37 | $1,489.03 | $52,815.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,221.00 / $14,989.00 / $44,635.00
| Facility | | $11,221.00 | $14,989.00 | $44,635.00 |