- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,078.00 / $15,212.00 / $53,558.90
| Facility | | $1,078.00 | $15,212.00 | $53,558.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,411.31 / $36,789.19 / $48,963.09
| Facility | | $24,411.31 | $36,789.19 | $48,963.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,089.36 / $32,004.77 / $49,553.93
| Facility | | $2,089.36 | $32,004.77 | $49,553.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,397.20 / $40,133.98 / $53,825.59
| Facility | | $26,397.20 | $40,133.98 | $53,825.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,239.18 / $44,193.95 / $65,990.28
| Facility | | $28,239.18 | $44,193.95 | $65,990.28 |