- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $40,687.50 / $67,550.89
| Facility | | $3,182.00 | $40,687.50 | $67,550.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $22,476.42 / $56,910.23
| Facility | | $1,474.01 | $22,476.42 | $56,910.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,281.57 / $41,549.14 / $62,140.58
| Facility | | $28,281.57 | $41,549.14 | $62,140.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,923.90 / $36,791.10 / $75,985.64
| Facility | | $24,923.90 | $36,791.10 | $75,985.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,923.90 / $44,424.00 / $66,330.02
| Facility | | $24,923.90 | $44,424.00 | $66,330.02 |