- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,232.93 / $19,498.45 / $26,302.68
| Facility | | $10,232.93 | $19,498.45 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $15,848.93 / $26,302.68
| Facility | | $10,471.29 | $15,848.93 | $26,302.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $20,892.96 / $28,183.83
| Facility | | $10,000.00 | $20,892.96 | $28,183.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,309.57 / $14,454.40 / $30,902.95
| Facility | | $6,309.57 | $14,454.40 | $30,902.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,754.40 / $14,791.08 / $29,512.09
| Facility | | $5,754.40 | $14,791.08 | $29,512.09 |