- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13,253.50 / $44,422.90 / $61,453.80
| Facility | | $13,253.50 | $44,422.90 | $61,453.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,146.00 / $3,000.00 / $19,404.71
| Facility | | $1,146.00 | $3,000.00 | $19,404.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,720.16 / $23,102.18 / $42,851.22
| Facility | | $16,720.16 | $23,102.18 | $42,851.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16,720.16 / $23,102.18 / $42,851.22
| Facility | | $16,720.16 | $23,102.18 | $42,851.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,419.00 / $31,220.17 / $45,846.51
| Facility | | $5,419.00 | $31,220.17 | $45,846.51 |