- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,559.60 / $31,207.90 / $54,602.10
| Facility | | $23,559.60 | $31,207.90 | $54,602.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,312.75 / $16,312.75 / $16,312.75
| Facility | | $16,312.75 | $16,312.75 | $16,312.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,939.30 / $27,042.27 / $54,978.03
| Facility | | $5,939.30 | $27,042.27 | $54,978.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,307.00 / $29,941.41 / $48,750.08
| Facility | | $17,307.00 | $29,941.41 | $48,750.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3,496.00 / $32,161.26 / $49,122.35
| Facility | | $3,496.00 | $32,161.26 | $49,122.35 |