- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,121.50 / $32,695.70 / $37,000.40
| Facility | | $21,121.50 | $32,695.70 | $37,000.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,000.17 / $31,790.41 / $43,692.27
| Facility | | $21,000.17 | $31,790.41 | $43,692.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,339.00 / $26,866.18 / $41,618.42
| Facility | | $16,339.00 | $26,866.18 | $41,618.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,496.00 / $25,293.00 / $39,110.00
| Facility | | $15,496.00 | $25,293.00 | $39,110.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $29,330.86 / $50,171.21
| Facility | | $5,274.00 | $29,330.86 | $50,171.21 |