- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,343.50 / $24,613.80 / $34,050.30
| Facility | | $7,343.50 | $24,613.80 | $34,050.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,742.19
| Facility | | $1,146.00 | $3,000.00 | $12,742.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.31 / $12,800.45 / $23,743.00
| Facility | | $9,264.31 | $12,800.45 | $23,743.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,264.31 / $13,218.30 / $23,743.00
| Facility | | $9,264.31 | $13,218.30 | $23,743.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,383.35 / $25,402.64
| Facility | | $5,419.00 | $16,383.35 | $25,402.64 |