- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,886.59 / $9,561.89 / $11,024.30
| Facility | | $7,886.59 | $9,561.89 | $11,024.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,083.72 / $12,083.72 / $12,083.72
| Facility | | $12,083.72 | $12,083.72 | $12,083.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,015.68 / $11,167.03 / $19,166.11
| Facility | | $7,015.68 | $11,167.03 | $19,166.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $16,599.34
| Facility | | $2,332.00 | $5,310.00 | $16,599.34 |