- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,293.50 / $17,742.70 / $24,544.90
| Facility | | $5,293.50 | $17,742.70 | $24,544.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,112.22
| Facility | | $1,146.00 | $3,000.00 | $6,112.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,678.10 / $9,227.10 / $17,114.93
| Facility | | $6,678.10 | $9,227.10 | $17,114.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,678.10 / $9,528.29 / $17,114.93
| Facility | | $6,678.10 | $9,528.29 | $17,114.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,975.89 / $11,809.80 / $18,311.28
| Facility | | $4,975.89 | $11,809.80 | $18,311.28 |