- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,182.00 / $26,874.50 / $59,206.60
| Facility | | $3,182.00 | $26,874.50 | $59,206.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,474.01 / $10,445.23 / $44,016.79
| Facility | | $1,474.01 | $10,445.23 | $44,016.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,788.02 / $35,160.10 / $54,464.52
| Facility | | $24,788.02 | $35,160.10 | $54,464.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,813.00 / $31,356.69 / $67,721.41
| Facility | | $18,813.00 | $31,356.69 | $67,721.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,813.00 / $27,635.84 / $58,136.46
| Facility | | $18,813.00 | $27,635.84 | $58,136.46 |