- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,999.70 / $31,791.00 / $55,622.20
| Facility | | $23,999.70 | $31,791.00 | $55,622.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12,360.00 / $20,016.25 / $24,350.22
| Facility | | $12,360.00 | $20,016.25 | $24,350.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $25,071.06 / $51,253.75
| Facility | | $5,939.30 | $25,071.06 | $51,253.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,098.63 / $30,500.81 / $49,660.88
| Facility | | $18,098.63 | $30,500.81 | $49,660.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,535.00 / $27,956.00 / $56,276.31
| Facility | | $3,535.00 | $27,956.00 | $56,276.31 |