- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,571.00 / $32,079.90 / $44,378.80
| Facility | | $9,571.00 | $32,079.90 | $44,378.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,099.74
| Facility | | $1,146.00 | $3,000.00 | $15,099.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,074.45 / $16,683.21 / $30,944.96
| Facility | | $12,074.45 | $16,683.21 | $30,944.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,074.45 / $16,683.21 / $30,944.96
| Facility | | $12,074.45 | $16,683.21 | $30,944.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $22,545.60 / $33,108.00
| Facility | | $5,419.00 | $22,545.60 | $33,108.00 |