- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,760.83 / $7,762.47 / $10,000.00
| Facility | | $6,760.83 | $7,762.47 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,467.37 / $8,128.31 / $13,803.84
| Facility | | $3,467.37 | $8,128.31 | $13,803.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $151,356.12 / $151,356.12 / $151,356.12
| Facility | | $151,356.12 | $151,356.12 | $151,356.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,244.36 / $9,332.54 / $13,489.63
| Facility | | $7,244.36 | $9,332.54 | $13,489.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,466.84 / $8,912.51 / $14,454.40
| Facility | | $4,466.84 | $8,912.51 | $14,454.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $8,511.38 / $12,302.69
| Facility | | $5,754.40 | $8,511.38 | $12,302.69 |