- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,879.50 / $28,366.60 / $40,299.00
| Facility | | $20,879.50 | $28,366.60 | $40,299.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,175.78 / $25,222.53 / $37,736.08
| Facility | | $16,175.78 | $25,222.53 | $37,736.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,543.37 / $24,258.96 / $45,172.65
| Facility | | $17,543.37 | $24,258.96 | $45,172.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $259.58 / $425.03
| Facility | | $150.00 | $259.58 | $425.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20,062.57 / $27,765.82 / $45,696.06
| Facility | | $20,062.57 | $27,765.82 | $45,696.06 |