- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,000.00 / $3,683.00 / $8,400.00
| Facility | | $1,000.00 | $3,683.00 | $8,400.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,235.45 / $14,671.87 / $23,181.40
| Facility | | $9,235.45 | $14,671.87 | $23,181.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,910.34 / $6,910.34 / $6,910.34
| Facility | | $6,910.34 | $6,910.34 | $6,910.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $356.93 / $601.54 / $8,753.15
| Facility | | $356.93 | $601.54 | $8,753.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,481.00 / $5,910.00 / $9,232.95
| Facility | | $1,481.00 | $5,910.00 | $9,232.95 |