- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,469.90 / $31,089.10 / $54,394.10
| Facility | | $23,469.90 | $31,089.10 | $54,394.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,220.00 / $24,728.00 / $34,315.71
| Facility | | $7,220.00 | $24,728.00 | $34,315.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $26,786.25 / $52,311.22
| Facility | | $5,939.30 | $26,786.25 | $52,311.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,307.00 / $29,827.40 / $48,564.45
| Facility | | $17,307.00 | $29,827.40 | $48,564.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,038.80 / $48,935.31
| Facility | | $3,496.00 | $32,038.80 | $48,935.31 |