- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,574.00 / $28,750.50 / $46,292.00
| Facility | | $12,574.00 | $28,750.50 | $46,292.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $12,373.23 / $39,019.94
| Facility | | $1,474.01 | $12,373.23 | $39,019.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,811.68 / $30,060.54 / $42,584.37
| Facility | | $20,811.68 | $30,060.54 | $42,584.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,191.71 / $25,710.00 / $52,072.26
| Facility | | $18,191.71 | $25,710.00 | $52,072.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,191.71 / $30,760.95 / $45,455.36
| Facility | | $18,191.71 | $30,760.95 | $45,455.36 |