- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,047.50 / $13,566.30 / $18,767.40
| Facility | | $4,047.50 | $13,566.30 | $18,767.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $4,730.24
| Facility | | $1,146.00 | $3,000.00 | $4,730.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,106.18 / $7,055.20 / $13,086.38
| Facility | | $5,106.18 | $7,055.20 | $13,086.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,106.18 / $7,185.20 / $13,086.38
| Facility | | $5,106.18 | $7,185.20 | $13,086.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,804.65 / $9,029.96 / $14,001.11
| Facility | | $3,804.65 | $9,029.96 | $14,001.11 |