- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,998.30 / $25,319.60 / $44,555.20
| Facility | | $14,998.30 | $25,319.60 | $44,555.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,628.00 / $17,635.00 / $24,198.50
| Facility | | $2,628.00 | $17,635.00 | $24,198.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9,991.68 / $14,428.27 / $23,539.01
| Facility | | $9,991.68 | $14,428.27 | $23,539.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,643.31 / $22,951.57 / $31,618.06
| Facility | | $13,643.31 | $22,951.57 | $31,618.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50,095.60 / $50,095.60 / $58,791.44
| Facility | | $50,095.60 | $50,095.60 | $58,791.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,787.00 / $22,065.84 / $31,518.52
| Facility | | $1,787.00 | $22,065.84 | $31,518.52 |