- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,793.20 / $13,085.90 / $15,087.30
| Facility | | $10,793.20 | $13,085.90 | $15,087.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,812.00 / $15,812.00 / $15,812.00
| Facility | | $15,812.00 | $15,812.00 | $15,812.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $14,552.00
| Facility | | $1,252.00 | $3,715.00 | $14,552.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,601.32 / $15,282.65 / $26,229.81
| Facility | | $9,601.32 | $15,282.65 | $26,229.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $14,872.11 / $23,094.49
| Facility | | $3,137.00 | $14,872.11 | $23,094.49 |