- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18,847.40 / $32,171.70 / $52,292.50
| Facility | | $18,847.40 | $32,171.70 | $52,292.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11,339.00 / $11,339.00 / $11,339.00
| Facility | | $11,339.00 | $11,339.00 | $11,339.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,161.49 / $25,562.02 / $40,326.55
| Facility | | $16,161.49 | $25,562.02 | $40,326.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8,150.11 / $18,208.06 / $40,670.76
| Facility | | $8,150.11 | $18,208.06 | $40,670.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,842.00 / $26,698.11 / $36,723.79
| Facility | | $6,842.00 | $26,698.11 | $36,723.79 |