- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,452.50 / $31,682.70 / $43,829.40
| Facility | | $9,452.50 | $31,682.70 | $43,829.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $10,425.56
| Facility | | $1,146.00 | $3,000.00 | $10,425.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.00 / $16,476.65 / $30,561.82
| Facility | | $8,534.00 | $16,476.65 | $30,561.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.00 / $15,427.48 / $29,593.94
| Facility | | $8,534.00 | $15,427.48 | $29,593.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $21,088.53 / $32,698.09
| Facility | | $5,419.00 | $21,088.53 | $32,698.09 |