- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,037.50 / $30,291.70 / $41,905.10
| Facility | | $9,037.50 | $30,291.70 | $41,905.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,295.26
| Facility | | $1,146.00 | $3,000.00 | $16,295.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,401.40 / $15,753.27 / $29,220.05
| Facility | | $11,401.40 | $15,753.27 | $29,220.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,401.40 / $15,753.27 / $28,294.66
| Facility | | $11,401.40 | $15,753.27 | $28,294.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,162.66 / $31,262.52
| Facility | | $5,419.00 | $20,162.66 | $31,262.52 |