- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,272.00 / $24,578.20 / $28,337.20
| Facility | | $20,272.00 | $24,578.20 | $28,337.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33,078.83 / $33,078.83 / $33,078.83
| Facility | | $33,078.83 | $33,078.83 | $33,078.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,252.00 / $3,715.00 / $8,731.00
| Facility | | $1,252.00 | $3,715.00 | $8,731.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,033.36 / $28,704.13 / $49,265.27
| Facility | | $18,033.36 | $28,704.13 | $49,265.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,137.00 / $27,933.05 / $43,376.45
| Facility | | $3,137.00 | $27,933.05 | $43,376.45 |