- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,703.00 / $55,984.80 / $77,448.50
| Facility | | $16,703.00 | $55,984.80 | $77,448.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $13,642.43
| Facility | | $1,146.00 | $3,000.00 | $13,642.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,071.94 / $29,115.00 / $54,004.14
| Facility | | $21,071.94 | $29,115.00 | $54,004.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,071.94 / $29,115.00 / $54,004.14
| Facility | | $21,071.94 | $29,115.00 | $54,004.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $37,264.39 / $57,779.02
| Facility | | $5,419.00 | $37,264.39 | $57,779.02 |