- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,699.50 / $24,046.20 / $33,778.50
| Facility | | $17,699.50 | $24,046.20 | $33,778.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14,005.92 / $21,451.36 / $31,982.82
| Facility | | $14,005.92 | $21,451.36 | $31,982.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15,440.52 / $21,316.56 / $38,582.00
| Facility | | $15,440.52 | $21,316.56 | $38,582.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $150.00 / $220.05 / $360.30
| Facility | | $150.00 | $220.05 | $360.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17,006.95 / $23,536.95 / $38,736.33
| Facility | | $17,006.95 | $23,536.95 | $38,736.33 |