- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,378.01 / $26,302.68 / $42,657.95
| Facility | | $17,378.01 | $26,302.68 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,549.93 / $18,620.87 / $32,359.37
| Facility | | $9,549.93 | $18,620.87 | $32,359.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $26,915.35 / $50,118.72
| Facility | | $16,218.10 | $26,915.35 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64,565.42 / $64,565.42 / $64,565.42
| Facility | | $64,565.42 | $64,565.42 | $64,565.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $23,988.33 / $42,657.95
| Facility | | $10,000.00 | $23,988.33 | $42,657.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,218.10 / $22,908.68 / $54,954.09
| Facility | | $16,218.10 | $22,908.68 | $54,954.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,079.46 / $21,877.62 / $50,118.72
| Facility | | $7,079.46 | $21,877.62 | $50,118.72 |