- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,469.50 / $25,036.20 / $34,634.60
| Facility | | $7,469.50 | $25,036.20 | $34,634.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $8,530.21
| Facility | | $1,146.00 | $3,000.00 | $8,530.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,423.27 / $13,020.09 / $24,150.39
| Facility | | $9,423.27 | $13,020.09 | $24,150.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,423.27 / $13,020.09 / $24,150.39
| Facility | | $9,423.27 | $13,020.09 | $24,150.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $16,664.45 / $25,838.49
| Facility | | $5,419.00 | $16,664.45 | $25,838.49 |