- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,294.50 / $31,153.20 / $43,096.70
| Facility | | $9,294.50 | $31,153.20 | $43,096.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $12,122.34
| Facility | | $1,146.00 | $3,000.00 | $12,122.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,725.63 / $16,201.24 / $30,050.98
| Facility | | $11,725.63 | $16,201.24 | $30,050.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,725.63 / $16,201.24 / $30,050.98
| Facility | | $11,725.63 | $16,201.24 | $30,050.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $20,736.03 / $32,151.53
| Facility | | $5,419.00 | $20,736.03 | $32,151.53 |