- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,306.85 / $2,306.85 / $40,609.15
| Facility | | $2,306.85 | $2,306.85 | $40,609.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,184.29 / $10,907.30 / $21,400.45
| Facility | | $4,184.29 | $10,907.30 | $21,400.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,683.60 / $8,060.05 / $19,389.53
| Facility | | $5,683.60 | $8,060.05 | $19,389.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,620.35 / $7,368.82 / $15,267.35
| Facility | | $4,620.35 | $7,368.82 | $15,267.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,053.00 / $3,954.00 / $6,052.17
| Facility | | $3,053.00 | $3,954.00 | $6,052.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,751.00 / $3,500.00 / $8,152.00
| Facility | | $1,751.00 | $3,500.00 | $8,152.00 |