- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,044.30 / $27,886.60 / $34,344.69
| Facility | | $23,044.30 | $27,886.60 | $34,344.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,555.25 / $24,631.23 / $25,057.93
| Facility | | $22,555.25 | $24,631.23 | $25,057.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $150.00 / $150.00
| Facility | | $150.00 | $150.00 | $150.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,006.30 / $28,449.97 / $44,580.73
| Facility | | $22,006.30 | $28,449.97 | $44,580.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,975.69 / $35,950.81 / $47,445.38
| Facility | | $26,975.69 | $35,950.81 | $47,445.38 |