- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,561.00 / $20,738.20 / $46,082.20
| Facility | | $1,561.00 | $20,738.20 | $46,082.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,217.97 / $19,217.97 / $19,217.97
| Facility | | $19,217.97 | $19,217.97 | $19,217.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,579.78 / $15,769.02 / $18,028.07
| Facility | | $12,579.78 | $15,769.02 | $18,028.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,043.17 / $24,857.89 / $32,328.76
| Facility | | $14,043.17 | $24,857.89 | $32,328.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,857.00 / $8,797.00 / $31,754.26
| Facility | | $1,857.00 | $8,797.00 | $31,754.26 |