- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,650.00 / $35,696.50 / $49,381.90
| Facility | | $10,650.00 | $35,696.50 | $49,381.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $15,671.23
| Facility | | $1,146.00 | $3,000.00 | $15,671.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,435.68 / $18,564.02 / $34,433.58
| Facility | | $13,435.68 | $18,564.02 | $34,433.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,435.68 / $19,170.00 / $34,433.58
| Facility | | $13,435.68 | $19,170.00 | $34,433.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $23,760.15 / $36,840.48
| Facility | | $5,419.00 | $23,760.15 | $36,840.48 |