- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,912.51 / $12,882.50 / $29,512.09
| Facility | | $8,912.51 | $12,882.50 | $29,512.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,606.93 / $10,471.29 / $15,848.93
| Facility | | $6,606.93 | $10,471.29 | $15,848.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,623.41 / $9,332.54 / $19,054.61
| Facility | | $5,623.41 | $9,332.54 | $19,054.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $13,489.63 / $18,197.01
| Facility | | $10,000.00 | $13,489.63 | $18,197.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,918.31 / $19,952.62 / $30,199.52
| Facility | | $6,918.31 | $19,952.62 | $30,199.52 |