- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,396.00 / $34,165.19 / $44,904.80
| Facility | | $23,396.00 | $34,165.19 | $44,904.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,183.12 / $35,902.60 / $60,724.42
| Facility | | $13,183.12 | $35,902.60 | $60,724.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24,625.40 / $34,475.14 / $61,493.91
| Facility | | $24,625.40 | $34,475.14 | $61,493.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,429.02 / $38,298.21 / $55,918.51
| Facility | | $29,429.02 | $38,298.21 | $55,918.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29,429.02 / $35,603.29 / $55,918.51
| Facility | | $29,429.02 | $35,603.29 | $55,918.51 |