- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,534.50 / $28,605.80 / $39,572.80
| Facility | | $8,534.50 | $28,605.80 | $39,572.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $16,176.22
| Facility | | $1,146.00 | $3,000.00 | $16,176.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,766.84 / $14,876.49 / $27,593.75
| Facility | | $10,766.84 | $14,876.49 | $27,593.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,766.84 / $15,362.10 / $27,593.75
| Facility | | $10,766.84 | $15,362.10 | $27,593.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $19,296.50 / $29,522.54
| Facility | | $5,419.00 | $19,296.50 | $29,522.54 |