- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,472.50 / $35,101.60 / $48,558.90
| Facility | | $10,472.50 | $35,101.60 | $48,558.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $14,514.31
| Facility | | $1,146.00 | $3,000.00 | $14,514.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,330.00 / $18,254.61 / $33,859.69
| Facility | | $11,330.00 | $18,254.61 | $33,859.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,330.00 / $17,797.40 / $32,787.37
| Facility | | $11,330.00 | $17,797.40 | $32,787.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,364.15 / $36,226.47
| Facility | | $5,419.00 | $23,364.15 | $36,226.47 |