- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,441.60 / $39,456.00 / $41,064.80
| Facility | | $23,441.60 | $39,456.00 | $41,064.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,053.00 / $35,140.50 / $48,833.00
| Facility | | $23,053.00 | $35,140.50 | $48,833.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,081.14 / $33,403.08 / $46,730.39
| Facility | | $21,081.14 | $33,403.08 | $46,730.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,779.00 / $37,406.00 / $81,402.00
| Facility | | $22,779.00 | $37,406.00 | $81,402.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,274.00 / $32,552.72 / $55,682.28
| Facility | | $5,274.00 | $32,552.72 | $55,682.28 |