- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,075.20 / $25,449.40 / $44,783.60
| Facility | | $15,075.20 | $25,449.40 | $44,783.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,594.59 / $15,594.59 / $21,747.56
| Facility | | $15,594.59 | $15,594.59 | $21,747.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,117.00 / $28,286.34 / $46,340.81
| Facility | | $19,117.00 | $28,286.34 | $46,340.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,713.25 / $23,069.23 / $31,755.09
| Facility | | $13,713.25 | $23,069.23 | $31,755.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52,284.50 / $52,284.50 / $61,360.30
| Facility | | $52,284.50 | $52,284.50 | $61,360.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,520.00 / $20,210.90 / $31,510.53
| Facility | | $2,520.00 | $20,210.90 | $31,510.53 |