- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,120.00 / $4,782.00 / $65,303.20
| Facility | | $2,120.00 | $4,782.00 | $65,303.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41,345.01 / $41,345.01 / $41,345.01
| Facility | | $41,345.01 | $41,345.01 | $41,345.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,313.59 / $30,518.34 / $48,789.36
| Facility | | $12,313.59 | $30,518.34 | $48,789.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,943.00 / $71,901.00 / $112,997.46
| Facility | | $19,943.00 | $71,901.00 | $112,997.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,928.93 / $95,388.44 / $153,228.45
| Facility | | $29,928.93 | $95,388.44 | $153,228.45 |