- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $789.00 / $10,482.16 / $55,971.50
| Facility | | $789.00 | $10,482.16 | $55,971.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,853.07 / $40,853.07 / $40,853.07
| Facility | | $40,853.07 | $40,853.07 | $40,853.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,200.00 / $44,290.53 / $69,260.19
| Facility | | $2,200.00 | $44,290.53 | $69,260.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,260.42 / $57,231.10 / $76,473.73
| Facility | | $34,260.42 | $57,231.10 | $76,473.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,329.22 / $62,590.40 / $91,749.70
| Facility | | $41,329.22 | $62,590.40 | $91,749.70 |