- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,174.90 / $3,467.37 / $10,471.29
| Facility | | $1,174.90 | $3,467.37 | $10,471.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $17,378.01 / $38,018.94
| Facility | | $8,912.51 | $17,378.01 | $38,018.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $20,417.38 / $20,417.38
| Facility | | $39.81 | $20,417.38 | $20,417.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $8,912.51 / $20,892.96
| Facility | | $5,623.41 | $8,912.51 | $20,892.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $12,589.25 / $29,512.09
| Facility | | $1,202.26 | $12,589.25 | $29,512.09 |