- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,570.70 / $28,140.80 / $36,741.80
| Facility | | $13,570.70 | $28,140.80 | $36,741.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,698.36 / $68,815.17
| Facility | | $5,840.42 | $25,698.36 | $68,815.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,900.51 / $26,291.84 / $39,727.29
| Facility | | $15,900.51 | $26,291.84 | $39,727.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37,337.12 / $37,337.12 / $37,337.12
| Facility | | $37,337.12 | $37,337.12 | $37,337.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22,909.53 / $26,486.66 / $40,901.62
| Facility | | $22,909.53 | $26,486.66 | $40,901.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,698.36 / $68,815.17
| Facility | | $5,840.42 | $25,698.36 | $68,815.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $25,698.36 / $53,779.67
| Facility | | $5,840.42 | $25,698.36 | $53,779.67 |