- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $14,125.38 / $23,442.29
| Facility | | $10,000.00 | $14,125.38 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,290.87 / $13,489.63 / $23,988.33
| Facility | | $2,290.87 | $13,489.63 | $23,988.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,025.60 / $11,481.54 / $16,982.44
| Facility | | $6,025.60 | $11,481.54 | $16,982.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,471.29 / $14,454.40 / $23,442.29
| Facility | | $10,471.29 | $14,454.40 | $23,442.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,162.28 / $9,772.37 / $21,379.62
| Facility | | $3,162.28 | $9,772.37 | $21,379.62 |