- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,573.00 / $34,386.80 / $46,127.00
| Facility | | $16,573.00 | $34,386.80 | $46,127.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,469.12 / $36,469.12 / $36,469.12
| Facility | | $36,469.12 | $36,469.12 | $36,469.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,897.00 / $38,775.62 / $46,106.03
| Facility | | $3,897.00 | $38,775.62 | $46,106.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,228.81 / $35,508.15 / $55,888.74
| Facility | | $29,228.81 | $35,508.15 | $55,888.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,350.00 / $43,869.38 / $55,403.93
| Facility | | $1,350.00 | $43,869.38 | $55,403.93 |