- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,471.00 / $26,973.10 / $35,451.90
| Facility | | $18,471.00 | $26,973.10 | $35,451.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,634.27 / $23,514.38 / $39,771.40
| Facility | | $8,634.27 | $23,514.38 | $39,771.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,763.96 / $27,092.96 / $45,347.49
| Facility | | $18,763.96 | $27,092.96 | $45,347.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,233.95 / $30,236.10 / $44,147.17
| Facility | | $23,233.95 | $30,236.10 | $44,147.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,233.95 / $28,108.48 / $44,147.17
| Facility | | $23,233.95 | $28,108.48 | $44,147.17 |