- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,353.50 / $64,868.80 / $89,738.30
| Facility | | $19,353.50 | $64,868.80 | $89,738.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $35,071.96
| Facility | | $1,146.00 | $3,000.00 | $35,071.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,415.72 / $33,735.08 / $62,573.74
| Facility | | $24,415.72 | $33,735.08 | $62,573.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,415.72 / $33,964.56 / $62,573.74
| Facility | | $24,415.72 | $33,964.56 | $62,573.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $43,177.66 / $66,947.63
| Facility | | $5,419.00 | $43,177.66 | $66,947.63 |