- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,723.70 / $20,217.50 / $27,748.10
| Facility | | $2,723.70 | $20,217.50 | $27,748.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,393.00 / $4,175.00 / $20,183.72
| Facility | | $1,393.00 | $4,175.00 | $20,183.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.00 / $13,460.26 / $24,937.75
| Facility | | $100.00 | $13,460.26 | $24,937.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,500.00 / $17,226.97 / $45,278.92
| Facility | | $6,500.00 | $17,226.97 | $45,278.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,556.50 / $25,493.00 / $29,918.20
| Facility | | $17,556.50 | $25,493.00 | $29,918.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,112.05 / $12,033.67 / $23,059.55
| Facility | | $11,112.05 | $12,033.67 | $23,059.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,846.00 / $18,150.43 / $36,908.65
| Facility | | $4,846.00 | $18,150.43 | $36,908.65 |