- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,569.89 / $10,390.29 / $11,979.40
| Facility | | $8,569.89 | $10,390.29 | $11,979.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,294.00 / $12,958.98 / $16,593.84
| Facility | | $12,294.00 | $12,958.98 | $16,593.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $2,554.00 / $3,843.00
| Facility | | $1,252.00 | $2,554.00 | $3,843.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,623.52 / $12,134.54 / $20,826.66
| Facility | | $7,623.52 | $12,134.54 | $20,826.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $18,037.50
| Facility | | $2,332.00 | $5,310.00 | $18,037.50 |