- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,318.31 / $5,463.36 / $13,841.56
| Facility | | $2,318.31 | $5,463.36 | $13,841.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,535.24 / $21,072.03 / $36,980.03
| Facility | | $14,535.24 | $21,072.03 | $36,980.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $724.09 / $1,230.95 / $4,217.00
| Facility | | $724.09 | $1,230.95 | $4,217.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,448.80 / $1,691.74 / $2,440.25
| Facility | | $1,448.80 | $1,691.74 | $2,440.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,217.00 / $6,451.00 / $7,934.00
| Facility | | $4,217.00 | $6,451.00 | $7,934.00 |