- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,937.45 / $9,623.54 / $11,095.40
| Facility | | $7,937.45 | $9,623.54 | $11,095.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,540.58 / $18,540.58 / $18,540.58
| Facility | | $18,540.58 | $18,540.58 | $18,540.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,067.00 / $4,334.00
| Facility | | $1,252.00 | $3,067.00 | $4,334.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,060.92 / $11,239.04 / $19,289.70
| Facility | | $7,060.92 | $11,239.04 | $19,289.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,332.00 / $5,310.00 / $16,706.38
| Facility | | $2,332.00 | $5,310.00 | $16,706.38 |