- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,512.09 / $43,651.58 / $56,234.13
| Facility | | $29,512.09 | $43,651.58 | $56,234.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10,000.00 / $18,620.87 / $39,810.72
| Facility | | $10,000.00 | $18,620.87 | $39,810.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $38,904.51
| Facility | | $15,135.61 | $20,892.96 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,135.61 / $20,892.96 / $38,904.51
| Facility | | $15,135.61 | $20,892.96 | $38,904.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,370.32 / $24,547.09 / $41,686.94
| Facility | | $5,370.32 | $24,547.09 | $41,686.94 |