- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,159.50 / $23,997.10 / $33,197.19
| Facility | | $7,159.50 | $23,997.10 | $33,197.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $6,313.10
| Facility | | $1,146.00 | $3,000.00 | $6,313.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,032.18 / $12,479.72 / $23,148.10
| Facility | | $9,032.18 | $12,479.72 | $23,148.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,032.18 / $12,887.10 / $23,148.10
| Facility | | $9,032.18 | $12,887.10 | $23,148.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $15,972.84 / $24,766.14
| Facility | | $5,419.00 | $15,972.84 | $24,766.14 |