- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,113.00 / $27,193.00 / $37,618.40
| Facility | | $8,113.00 | $27,193.00 | $37,618.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $11,958.67
| Facility | | $1,146.00 | $3,000.00 | $11,958.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,235.08 / $14,141.77 / $26,230.95
| Facility | | $10,235.08 | $14,141.77 | $26,230.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,235.08 / $14,481.72 / $26,230.95
| Facility | | $10,235.08 | $14,481.72 | $26,230.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $18,100.09 / $28,064.49
| Facility | | $5,419.00 | $18,100.09 | $28,064.49 |